The Washington Post: Trump’s Openness To Extensive Background Checks For Gun Buys Draws Warning From NRA
President Trump has repeatedly told lawmakers and aides in private conversations that he is open to endorsing extensive background checks in the wake of two mass shootings, prompting a warning from the National Rifle Association and concerns among White House aides, according to lawmakers and administration officials. Trump, speaking to reporters Wednesday before visiting Dayton, Ohio, and El Paso, where weekend shootings left 31 dead, said there “was great appetite for background checks” amid an outcry over government inaction in the face of repeated mass shootings. (Dawsey and Kim, 8/7)

USA Today: Trump Considers Tougher Background Checks For Gun Buyers After Shootings In El Paso And Dayton
“I'm looking to do background checks,” Trump said at the White House as he departed for Dayton, where he met with shooting survivors and first responders. “I think background checks are important.” Trump, who also visited El Paso on Wednesday, said he senses there is “a very strong appetite” for background checks, though many lawmakers have mostly focused publicly on red flag laws aimed at keeping guns out of the hands of people deemed an imminent danger to themselves or others. (Collins, Lalljee, Elbeshbishi and Jackson, 8/7)

The Associated Press Fact Check: Trump Twists Facts On Gun Control And Tariffs
Battling dual crises of gun violence and trade, President Donald Trump is twisting the facts in regards to gun control and exaggerating his case for tariffs against China. Speaking Wednesday, Trump defended his past incendiary rhetoric on race in the wake of weekend mass shootings in Texas and Ohio and suggested that legislation addressing background checks was imminent. That’s not the case. (Yen and Wiseman, 8/7)

Politico: Poll: Most Republicans Support Assault Weapons Ban, Despite Trump Saying 'No Appetite'
Most Republicans would support legislation banning assault-style weapons, a new POLITICO/Morning Consult poll found Wednesday — a finding that contradicts President Donald Trump's claim earlier the same day that there's "no political appetite" for such restrictions. The poll found that nearly 70 percent of all voters would back such a ban. Support for an assault-weapons ban was higher, at 86 percent, among Democrats, who have been pushing for new restrictions on the firearms in the wake of two mass shootings over the weekend. (Shepard, 8/7)

Reuters: Factbox: Mass Shootings In U.S. Ignite New Calls For Gun Legislation
A cluster of recent mass shootings that killed 36 people in California, Texas and Ohio has sparked renewed calls for the U.S. Congress to pass legislation to prevent gun violence. While Democrats want the Senate to interrupt its five-week summer recess and return to Washington to address the matter immediately, Senate Majority Leader Mitch McConnell, a Republican, has not acted on the request. (8/7)

The Associated Press: Mayors Urge McConnell And Schumer To Recall Senate To Washington For Vote On Gun Bill
More than 200 mayors, including two anguished by mass shootings in Texas and Ohio, are urging the Senate to return to the Capitol to act on gun safety legislation amid criticism that Congress is failing to respond to back-to-back shootings that killed 31 people. In a letter Thursday to Senate Majority Leader Mitch McConnell and the Democratic leader, Charles E. Schumer, the mayors wrote, “Our nation can no longer wait for our federal government to take the actions necessary to prevent people who should not have access to firearms from being able to purchase them.” (Daly and Mascaro, 8/7)

The Associated Press: Texas Governor Says 'No Red Flags' In El Paso Suspect's Past
Gov. Greg Abbott said Wednesday he's not aware of any "red flags" in the suspected El Paso gunman's past and made no mention of taking major gun-control measures in Texas, where three mass shootings since 2017 have killed more than 50 people. Abbott, a Republican, said racism needs to be confronted and a crackdown initiated on internet sites used by violent extremists after the weekend attack that left 22 people dead in the mostly Latino border city. (8/7)

Texas Tribune: Greg Abbott Announces Roundtables To Mull Responses To El Paso Shooting
Days after a white gunman murdered 22 people in El Paso in a shooting fueled by racism, Gov. Greg Abbott on Wednesday said that he will hold another series of roundtable discussions to consider legislative proposals to address the tragedy. The roundtables, which may start later this month, are meant to collect ideas to legislatively address the domestic terrorism El Paso experienced as well as ensuring guns do not end up in the hands of “deranged killers like the man who committed this heinous crime,” Abbott said. (Ura, 8/7)

USA Today: Red Flags: Warning Signs Before Previous Mass Shootings Went Unseen And Unheeded Even In Military
Deadly massacres in recent years have exposed the difficulty in identifying and acting on warnings signs from troubled people – even inside institutions such as the military, which screens its personnel continuously. After massacres in El Paso, Texas, and Dayton, Ohio, President Donald Trump said the government needs the power to identify potential shooters and take away their firearms if they have threatened harm to themselves or others. But even when warning signs are apparent, they can be overlooked or unheeded. Information reporting systems have gaps that can allow would-be shooters to obtain weapons. (Brook and Johnson, 8/7)

The Baltimore Sun: What Is A ‘Red Flag’ Law And How Has It Worked In Maryland And Elsewhere? 
Seventeen states and the District of Columbia have enacted laws, primarily since 2012. Maryland’s law went in effect in 2018, after the shooting at Marjory Stoneman Douglas High School in Parkland, Fla. All the laws allow law enforcement to petition the courts. Many states also allow family members and intimate partners to seek an order. The Maryland law is considered among the strongest because it also allows some health care providers and social workers to petition the court and permits requests any day or time. (Cohn and Rentz, 8/7)

The Washington Post: ‘We Have To Deal With This’: Gun Policy Divide Hangs Over Bipartisan Gathering Of State Lawmakers
The state lawmakers had been crammed into a conference room for nearly two hours, listening to fellow legislators talk about bulletproof desks, clipboards that double as shields and special phone apps to alert emergency services — all part of a cottage industry to prepare students for a mass shooting. There was talk of mental-health interventions, video games and social media monitoring during the informational session titled “A proactive approach to school safety.” But as the talk neared its end, no one had mentioned the word “gun.” (Wax-Thibodeaux, 8/7)

Health News Florida: Florida Senate To Look At Mass Violence, White Nationalism
In the run-up to the 2020 legislative session, the Florida Senate will review acts of mass violence such as the deadly shootings this weekend in El Paso, Texas, and Dayton, Ohio, along with factors such as white nationalism. Senate President Bill Galvano, R-Bradenton, on Monday directed Senate Infrastructure and Security Chairman Tom Lee, R-Thonotosassa, to lead efforts to determine if any further action is needed after laws were enacted in the wake of the Feb. 14, 2018 massacre at Marjory Stoneman Douglas High School in Parkland. (Turner and Ceballos, 8/7)

Reuters: Trump Visits Mass Shooting Victims; Protesters Shout 'Do Something!'
U.S. President Donald Trump met victims and first responders from last weekend's deadly shootings in Texas and Ohio on Wednesday, as chanting protesters accused him of inflaming tensions with anti-immigrant and racially charged rhetoric. Trump visited hospitals where victims were treated in El Paso, Texas, on the border with Mexico, and in Dayton, Ohio, after massacres 13 hours apart that shocked the country and reopened a national debate on gun safety. (Mason, 8/8)

The Washington Post: Trump Attacks Local Leaders As He Visits Two Cities Grieving From Mass Shootings
On a day when President Trump vowed to tone down his rhetoric and help the country heal following two mass slayings, he did the opposite — lacing his visits Wednesday to El Paso and Dayton, Ohio, with a flurry of attacks on local leaders and memorializing his trips with grinning thumbs-up photos. A traditional role for presidents has been to offer comfort and solace to all Americans at times of national tragedy, but the day provided a fresh testament to Trump’s limitations in striking notes of unity and empathy. (Parker, Rucker, Johnson and Sonmez, 8/8)

The Wall Street Journal: Trump Visits Grieving Cities As Gun-Control Debate Boils
As he left Washington, Mr. Trump said he “would like to stay out of the political fray,” and the president and first lady Melania Trump met privately with victims, hospital staff and first responders in both cities. But he blasted critics who said his often-combative language on immigration, race and his political opponents has sowed divisions and encouraged violence. Democrats, meanwhile, continued to press the Republican president to throw his support behind gun-control legislation. Departing Washington, Mr. Trump said he is working with members of Congress, and he expressed optimism that progress can be made on the issue of background checks, though he didn’t offer details. (Leary, Lucey and Maher, 8/8)

The New York Times: Trump Visits Dayton And El Paso
But Mr. Trump’s proved unwilling to completely refrain from his usual combative style. On his way to El Paso from Dayton, he tweeted attacks on the Democratic mayor of Dayton and a Democratic senator who he said had not accurately described the closed-door sessions at a Dayton hospital earlier in the day. And earlier on Wednesday, Mr. Trump held a 20-minute session with reporters in which he unloaded many of his usual grievances, displaying little hesitation to engage in politics on a day of grief for many people around the country. (Shear, 8/7)

Reuters: Biden Says Trump Fans 'Flames Of White Supremacy' As Democrats Attack Racism
Democratic presidential front-runner Joe Biden on Wednesday accused Republican President Donald Trump of fueling the white supremacy beliefs blamed for several U.S. mass shootings, as Trump visited two cities where 31 people were killed in rampages last weekend. "In both clear language and in code, this president has fanned the flames of white supremacy in this nation," Biden, the former vice president, said in a speech in Burlington, Iowa. (Reid and MacLeod, 8/7)

The Washington Post: Biden, Booker Attack Trump With Scathing Words — And Different Messages
Booker, in contrast, spent much of his time exploring the nation’s painful racial history in broad terms, depicting Trump as more symptom than cause and refraining from mentioning his name. “In both clear language and in code, this president has fanned the flames of white supremacy in this nation,” the former vice president said. “His low-energy, vacant-eyed mouthing of the words written for him condemning white supremacists this week fooled no one. The energetic embrace of this president by the darkest hearts, the most hate-filled minds in this country, says it all.” (Wootson and Viser, 8/7)

Los Angeles Times: What Role Does Ideology Play In Mass Shootings?
In their political views, the gunmen who brought carnage to two American cities last weekend could not have been more different. One posted a lengthy screed railing against the “Hispanic invasion of Texas” and supported President Trump. The other apparently identified as a leftist, taking to Twitter to support Democratic presidential candidate Elizabeth Warren and proclaim, “Kill every fascist.” As the nation struggles to understand the motives behind the attacks, political ideology has become a focus. (Jarvie, 8/7)

The Associated Press: Trump Words Linked To More Hate Crime? Some Experts Think So
President Donald Trump has often railed about an “invasion of illegals” at the southern border, words echoed in a screed the El Paso shooting suspect apparently posted that called the attack that killed 22 people at a Walmart his response to a “Hispanic invasion of Texas.” Some extremism experts believe that may not be an accident. They say historical data suggests a link between heated rhetoric from top political leaders and ensuing reports of hate crimes, only adding to the fears of those who could be targeted. (Kunzelman and Galvan, 8/7)

CNN: Trump Alleges Left-Wing Political Motivation In Dayton Despite Lack Of Clear Motive
Authorities, however, have said there is no clear motive behind the [Dayton] attack, and writings by Betts did not indicate any racial or political motive, sources have told CNN. Instead, investigators have pointed to an apparent fixation of Betts on violence and killing. In contrast, investigators say Patrick Crusius, the El Paso suspect, left behind a manifesto filled with white supremacist language and racist hatred aimed at immigrants and Latinos. The author says he opposes "race mixing" and encourages immigrants to return to their home countries. (Carvajal, 8/7)

CNN: Democrats And The FBI Say White Extremism Is A Huge Problem. Trump Disagrees.
The issue of gun violence has divided Americans along political lines for decades and will continue to do so, but white extremism is jumping to the forefront of the political conversation in a new way: Democrats say it's a crisis that needs to be addressed immediately while President Donald Trump and some pundits appear to believe there is no problem at all. (Wolf, 8/8)

NBC News: Mental Illness Isn't A Major Risk Factor For Gun Violence, But Here's What Is
Having access to a gun is more of a risk factor for violence than being diagnosed with a mental illness, research shows. That stands in stark contrast to a statement President Donald Trump made Monday in addressing the nation after this weekend’s mass shootings in Dayton, Ohio, and El Paso, Texas. “Mental illness and hatred pull the trigger, not the gun,” Trump said. (Sullivan, 8/6)

Detroit Free Press: Trump Said 'Mental Illness And Hatred Pulls The Trigger' In Mass Shootings. Experts Beg To Differ.
Following a bloody weekend in Texas and Ohio where mass shootings left 31 people dead and dozens more injured, President Donald Trump called for culture change to a stop the glorification of violence in video games and online platforms, an end to bigotry and hatred and reforms to mental health laws. But his statements about mental health -— referring to mass shooters as "mentally ill monsters" and suggesting "involuntary confinement" for some people with mental illness — were off the mark, said Kevin Fischer, the executive director of the Michigan chapter of the National Alliance on Mental Illness. (Shamus, 8/8)

PBS NewsHour: Why Mental Illness Can’t Predict Mass Shootings
Four mental health experts who spoke with the PBS NewsHour described President Donald Trump’s conflation on Monday that “mental illness and hatred pull the trigger, not the gun” as “completely false” and “irresponsible.” (Akpan, 8/7)

Politico Pulse Check: Gun Violence Is More Than A 'Mental Health Crisis'
A pair of mass shootings have renewed the spotlight on the nation's high rate of gun deaths. POLITICO's Dan Diamond reviews why health care groups say that gun violence deaths represent a "public health crisis" — and how GOP congressmen and the current Surgeon General avoid using that term. (8/8)

Tampa Bay Times: On Gun Violence, Ron DeSantis Stresses Mental Health, Internet
Gov. Ron DeSantis pointed to “recesses of the internet” where people can share “vile” views and a need to look at white nationalism --- along with other causes --- when asked Wednesday about tackling mass violence. But he also said, after a Purple Heart dedication ceremony at Tallahassee National Cemetery, that it’s not productive to any gun-safety dialogue to focus on partisan politics, as Democrats continued to criticize President Donald Trump after two mass shootings over the weekend. (Turner, 8/7)

And, when following the coverage gets to be too much, mental health experts say step away from social media and news —

CNN: When Bad News Gets To Be Too Much
Maybe it happened for you after the Parkland or San Bernardino shootings. Or when attacks in France, Brussels, New Zealand and other faraway regions came in such quick succession there wasn't time for mourners of one trauma to disperse before the next took its place. Maybe it was earlier -- after Sandy Hook or maybe even Columbine. Maybe it's happening for you now after the Gilroy, El Paso and Dayton shootings. No matter when it happened, what you felt is how sadness and prayer can harden into palpable exhaustion. (Willingham, 8/7)

The Wall Street Journal: After Mass Shootings, Workers Plot Their Own ‘What-If’ Escape Plans
Like a growing number of U.S. workers, Maricarmen Molina has mentally mapped out how she hopes to escape should a gunman ever enter her workplace. The 26-year-old shop steward at a New Jersey apparel warehouse said she plans to sprint to the back of the sprawling building and hide between racks of nearly floor-length dresses, trying not to make a sound. It is a strategy she re-evaluated over the weekend as back-to-back mass shootings unfolded at a Walmart in El Paso, Texas, and outside a bar in Dayton, Ohio. (Cutter, Gee and Simon, 8/8)

The Washington Post: Travel Advisories: Amnesty International Joins Countries Warning Against Travel To The U.S. After Gun Violence
Amnesty International has joined a growing list of countries warning travelers about the perils of gun violence in the United States. A travel advisory the organization issued Wednesday “calls on people worldwide to exercise caution and have an emergency contingency plan when traveling throughout the USA.” “This Travel Advisory is being issued in light of ongoing high levels of gun violence in the country,” the warning continues. (Parker, 8/7)

The Associated Press: Loved Ones Mourn Shooting Victims As Policy Debate Rages
Tearful mourners hugged at a service to remember a student gunned down in Ohio. In Mexico, relatives and friends gathered for the wake of a teacher slain at a store in Texas. With a policy debate raging over what to do after the United States’ latest mass shootings — at a Walmart store in El Paso, Texas, and an entertainment district in Dayton, Ohio — loved ones of the more than 30 people who were killed are struggling with the aftermath. (Stengle and Sherman, 8/7)

Reuters: Medicare To Cover Expensive Cancer Cell Therapies
The U.S. Centers for Medicare and Medicaid Services (CMS) on Wednesday said it has finalized a decision to cover expensive cancer cell therapies sold by Gilead Sciences Inc and Novartis AG. CMS, which runs Medicare - the federal government's health plan for Americans 65 and older - said it will cover the U.S. Food and Drug Administration-approved therapies when provided in healthcare facilities that have programs in place to track patient outcomes. (Beasley, 8/8)

The Associated Press: Medicare To Cover Breakthrough Gene Therapy For Some Cancers
Officials said Medicare will cover CAR-T cell therapies for certain types of lymphoma and leukemia , uses that are approved by the Food and Drug Administration. The cost can run to hundreds of thousands of dollars per patient, not counting hospitalization and other expenses. Medicare Administrator Seema Verma said the decision will provide consistent and predictable access nationwide, opening up treatment options for some patients “who had nowhere else to turn.” (Alonso-Zaldivar, 8/7)

The Washington Post: Medicare Will Cover Pioneering Cancer Treatment Nationwide
In announcing the decision, Seema Verma, administrator of the Centers for Medicare and Medicaid Services, said that until now, Medicare’s regional administrators had decided whether to cover the treatment, which led to confusion. Verma said the agency, which had scheduled this coverage decision originally for late May, has been struggling to figure out how to cover and pay for the treatment, called CAR T-cell therapy. The treatment costs $375,000 or $475,000, depending on whether it is used for advanced lymphoma or pediatric leukemia. Hospital stays can add hundreds of thousands of dollars to the cost of care. (McGinley, 8/7)

The Wall Street Journal: Medicare Moves To Cover Costly Cell Therapies
The treatments provide new options for the cancer patients. Yet their use has been limited, in part because hospitals aren’t always sure they could get reimbursed for both the cost of the drugs and the lengthy hospital stays for side effects and other care that are often required. The problem was that health-insurance payments aren’t structured for treatments like a CAR-T, which trigger not just the price of the drug itself but related care costs that can reach hundreds of thousands of dollars. Novartis listed Kymriah for $475,000, while Gilead priced Yescarta at $373,000. (Rockoff, 8/7)

Bloomberg: Medicare Expands Its Coverage Of Costly Cancer Breakthrough
CMS hasn’t yet set a price that it will pay for the treatments, and instead will cover 65% of a hospital’s costs, Verma said. They can also apply for an additional outlier payment, offered for some new breakthrough therapies that have steep price tags. Between the two payments, some hospitals are getting close to the average sales price of the drug, she said. (Cortez, 8/7)

Stat: CMS Finalizes Long-Sought Rules For Medicare CAR-T Coverage
The agency also abandoned its previous idea of requiring hospitals collect data on how patients fare when they receive these treatments. Wednesday’s announcement does not, however, ensure that hospitals are breaking even when offering CAR-T treatments. CMS’ coverage policy does not change how much CMS reimburses for CAR-T treatments, which currently cost over $300,000. The agency has been “struggling” to set those payment rates, and it could be years before that issue is solved, Verma told STAT in an interview earlier this week. (Florko, 8/7)

Meanwhile, in other news —

CQ: Senate Bill Aims To Protect Taxpayers From Costly Drugs
Congress this year could enact the biggest overhaul of Medicare’s prescription drug benefit since it was first established in 2003. If successful, seniors — and taxpayers — would be more insulated against the cost of the most expensive drugs.  One proposed change is meant to help Medicare control the costs it absorbs so that the program’s premiums can remain stable despite increasing drug prices. Supporters of the drug program tout its low premiums, with the Trump administration and the private insurers who run Part D recently highlighting that average consumer premiums will fall in 2020. (Siddons, 8/8)

The New York Times: Novartis C.E.O. Defends Company’s Decision To Withhold False Data From The F.D.A.
The chief executive of Novartis on Wednesday defended the company’s decision to delay telling the Food and Drug Administration about manipulated data involving its $2.1 million gene therapy treatment, saying that it “thoroughly, aggressively” investigated the issue and that patient safety was never threatened. Vas Narasimhan, the chief executive, also indicated in a call with investors that the company was forcing out a small number of scientists who were involved in the manipulated data. (Thomas, 8/7)

The Wall Street Journal: Novartis CEO: Knew About Zolgensma Data Problems Before FDA Approval
Mr. Narasimhan explained that the company waited to tell the regulator because it was completing the investigation and that none of the delays were related to its drug application with the U.S. drug watchdog. “We made the decision to progress our quality investigation prior to informing FDA and other regulatory authorities so that we could provide the best information and technical analysis--which we did promptly on completion on June 28,” said Mr. Narasimhan. (Martuscelli, 8/7)

Stat: Novartis CEO: 'We Tried To Do The Right Things' In FDA Data Scandal 
“I think everyone in our organization can stand proud that we tried to do the right things in this instance,” Narasimhan told financial analysts on a conference call. “We understand the agency has a different perspective, which we respect, but we’ve tried to be transparent, thorough, science-based, and, most importantly, patient-oriented to ensure that we never compromised patient safety, efficacy, or product quality during any moment during all of this.” (Garde, 8/7)

The Hill: Novartis CEO Says Organization Can 'Stand Proud' After Hiding Manipulated Data From FDA
The FDA has indicated it might pursue civil or criminal penalties against the company, and that it would have delayed the drug's approval if it knew about the manipulated data. Both the FDA and Novartis said the drug is still safe to use and will continue to be sold. (Hellmann, 8/7)

Stat: ‘Every Man And His Dog’ Does Cell Therapy. Vor’s New CEO Says The Company Wants To Be Different
Three years after Pulitzer Prize-winning writer and oncologist Dr. Siddhartha Mukherjee founded Vor Biopharma, the company finally has its first executive. Robert Ang, formerly the chief business officer for Neon Therapeutics (NTGN), will be Vor’s first chief executive officer, the company announced Wednesday. Vor is one of several startups developing cell therapies for cancer, though specifics about the company’s plans had been sparse until recently. In May, the company’s scientific founders published a preclinical proof-of-concept paper in the Proceedings of the National Academy of Sciences that laid out just what they hope the company will do. (Sheridan, 8/7)

Reuters: Patient Groups Push Back Against Gilead's Pricey HIV Prevention Treatment
Gilead Sciences Inc hopes to soon introduce a pricey new pill to prevent HIV in people at risk of contracting the infection, but the drugmaker faces opposition from an unusual source: patient advocates. Such groups have traditionally lobbied for insurance coverage of newer HIV drugs regardless of expense. But at least three U.S. organizations now question whether Gilead’s Descovy would be the best option for most people at risk of exposure. (Beasley, 8/7)

Kaiser Health News: Price Of Snakebite Drug Is Sky High, But New Competitor Unlikely To Lower Costs
Dr. Steven Curry has treated patients with snakebites since the 1980s — long enough to remember when the treatment represented its own form of misery. The first medication he used sometimes caused an immune reaction called “serum sickness” — patients broke out in a severe, itchy rash. About 20 years ago, the drug CroFab entered the market and dramatically reduced the adverse reactions associated with treatment, said Curry, who works at a Phoenix hospital. He is a medical toxicologist, a specialist in treating patients harmed by poison or venom. (Heredia Rodriguez, 8/8)

Milwaukee Journal Sentinel: Biologic Drug Makers Pay Doctors To Prescribe Risky, Pricey Medications
All three efforts were part of a massive drug company push to boost the sale of expensive, immune-suppressing drugs to treat autoimmune conditions such as psoriasis and rheumatoid arthritis. The drugs, many of which are biological medicines, called biologics, were introduced two decades ago and have hit $45 billion in sales, despite escalating prices and mounting reports of serious side effects. (Fauber, 8/7)

The Hill: 'Medicare For All' Complicates Democrats' Pitch To Retake Senate 
The divide over health care among Democratic presidential candidates is raising fears the party might turn an issue that was a key winner in the House midterms into a liability in next year's Senate races. Democratic Senate candidates have been planning to borrow heavily from the playbook used by House Democrats in 2018, when the party won back the chamber in large part because of a pledge to protect ObamaCare against Republican attempts to kill the 2010 law. (Hellmann, 8/8)

Modern Healthcare: Medicare Buy-In Would Hurt Rural Hospitals, Study Says
Opponents of the public option have funded an analysis that warns more rural hospitals may close if Americans leave commercial plans for Medicare. With the focus on rural hospitals, the Partnership for America's Health Care Future brings a sensitive issue for politicians into its fight against a Medicare buy-in. The policy has gone mainstream among Democratic presidential candidates and many Democratic lawmakers. (Luthi, 8/7)

Previous KHN coverage: Doctors Argue Plans To Remedy Surprise Medical Bills Will ‘Shred’ The Safety Net

And in other news —

The CT Mirror: Health Insurers Ramp Up Lobbying Battle Against Medicare-For-All
Nearly every Democratic candidate for the White House, from the most progressive to the most conservative, are calling for changes to the nation’s health care system that would adversely impact Connecticut’s health insurers – and that industry is hitting back. Joining forces with their longtime foe, the pharmaceutical industry, and with some of the biggest names in the health care industry, including the American Medical Association and the Federation of American Hospitals, the nation’s health insurers have joined a coalition that is fighting Medicare-for-all proposals and other Democratic plans to alter the nation’s health care. (Radelat, 8/7)

Boston Globe: N.H. Democrats Say They Want A Candidate Who Favors Medicare For All, Suffolk/Globe Poll Finds
More than half of New Hampshire Democratic primary voters say it is very important that their party nominate a candidate who supports Medicare for All, according to a new Suffolk University/Boston Globe poll released Tuesday. Fifty-six percent of respondents said Democrats should nominate someone who supports Medicare for All, and 60 percent said they personally supported the policy (compared with to 22 percent who said they were opposed to the idea). (Prignano, 8/6)

Modern Healthcare: Short-Term Health Plans Spend Little On Medical Care
For every dollar in premiums that UnitedHealthcare collected from people enrolled in short-term health plans last year, it spent less than 40 cents on patients' medical claims. Short-term plans sold by Cambia Health Solutions, which operates Blue Cross and Blue Shield plans in four states, spent even less on medical care, paying out just 9 cents for every dollar in premiums. These low "loss ratios"—which show the percentage of premiums spent on medical claims and were published last week in the National Association of Insurance Commissioners' 2018 Accident and Health Policy Report—are a stark reminder that short-term plans benefit insurance companies more than the patients who purchase them. (Livingston, 8/6)

The Washington Post: A Detroit Diabetic Was Deported To Iraq, Where He’d Never Lived. He Died From Lack Of Insulin, Family Says.
Jimmy Aldaoud crouched on a sidewalk, miserable, hungry and short on insulin. The 41-year-old with diabetes and severe mental illness had spent nearly his whole life in Detroit until just over two months ago, when Immigration and Customs Enforcement deported him to Iraq — a country he’d never set foot in. “I don’t understand the language,” Aldaoud said in an undated video shared to Facebook on Wednesday night. “I’m sleeping in the street. I’m diabetic. I take insulin shots. I’ve been throwing up, throwing up, sleeping in the street, trying to find something to eat. I’ve got nothing over here." (Elfrink, 8/8)

Politico: Iraqi Man Dies After Trump Administration Deports Him
Edward Bajoka, an immigration attorney who described himself as close to Aldaoud’s family, wrote on Facebook that the death appeared to be linked to the man’s inability to obtain insulin in Baghdad to treat his diabetes. Aldaoud was an Iraqi national, but he was born in Greece and came to the U.S. as a young child, his family friend said. He had never lived in Iraq and did not speak Arabic, according to Bajoka. (Hesson and Toosi, 8/7)

Time: Detroit Man Dies After Deportation To Iraq: Report
Representative Andy Levin responded to Aldaoud’s death on Twitter, saying that deporting the U.S. resident to a place where he ultimately lacked access to medical care “put his life in extreme danger.” (Gunia, 8/8)

CNN: With 680 Undocumented Immigrants Arrested Across Mississippi, One Mayor Asks 'What Happens To The Children?'
It was the first day of school in Morton, Mississippi, Wednesday, and many undocumented parents and their children went together to the first morning drop off, said Elizabeth Iraheta. By the end of the day, some of those children were all alone, she said. US immigration authorities arrested about 680 undocumented immigrants at seven sites in six different cities in Mississippi on Wednesday. The raids are "believed to be the largest single-state immigration enforcement operation in our nation's history," said US Attorney for the Southern District of Mississippi Mike Hurst. (Holcombe and Shoichet, 8/8)

The Washington Post: ICE Arrested Hundreds Of People In Raids. Now ‘Devastated’ Children Are Without Their Parents.
Elizabeth Iraheta was passing the Koch Foods processing plant in Morton, Miss., on Wednesday when she saw immigration officials swarming outside and a helicopter overhead. Big silver buses lined the driveway and agents blocked the entrance gates. U.S. Immigration and Customs Enforcement officers were sweeping through the workplace and rounding up all undocumented immigrants. By the day’s end, nearly 700 people would be arrested. Angie’s mother was one of them. (Fritz and Velarde, 8/8)

The Hill: Embattled Juul Seeks Allies In Washington
Juul Labs is spending big on campaign donations and a massive lobbying blitz as the e-cigarette maker faces growing threats from lawmakers and regulators, and with few allies in Washington. The company spent $1.95 million on lobbying in the first two quarters of 2019, surpassing its 2018 total of $1.64 million. And Juul's PAC has given nearly $100,000 to lawmakers this year, a pace that will blow past the $225,000 the company spent in the entire 2018 cycle.  (Gangitano, 8/7)

CNN: FDA Investigating 127 Reports Of Seizures And Neurological Symptoms Related To E-Cigarettes
The US Food and Drug Administration has received 127 reports of seizures or other neurological symptoms possibly related to e-cigarettes, the agency announced Wednesday. Investigators have yet to determine, however, whether vaping was directly linked to the cases. (Azad, 8/7)

St. Louis Public Radio: SLU Study Finds Quitting Smoking During Pregnancy Can Reduce Risk For Babies
The link between smoking and low birth weight babies has been well-established. But the study published in the Maternal and Child Health Journal is one of the first clear indications that quitting smoking during pregnancy can have health benefits for a developing fetus throughout the third trimester, said Pam Xaverius, an assistant professor of epidemiology at SLU. (Fentem, 8/7)

Reuters: CVS Health Raises 2019 Profit Forecast After Beating Profit Estimates
CVS Health Corp raised its full-year profit forecast and reported higher-than-expected second-quarter results on Wednesday, as increased U.S. prescription drug prices fueled rebates to its pharmacy benefits business. CVS shares were up 6.6% at $57.65, while the broader market was down about 0.5%. (Mishra and Mathias, 8/7)

The Wall Street Journal: CVS Boosts Profit Outlook As Aetna Deal Starts To Pay Off 
The tone Wednesday was a change from early this year, when CVS gave a downbeat earnings projection for 2019 that pushed its shares down sharply and led investors to press for more detail about the company’s growth plans. CVS and rival Walgreens Boots Alliance Inc. are under pressure to find new ways to counter slowing revenue from prescription drugs, which drive the bulk of the pharmacy chains’ sales. They also face government scrutiny of the traditional pharmacy-benefits business model, and particularly of rebates paid by drugmakers. (Terlep and Maidenberg, 8/7)

The Associated Press: Aetna Deal Begins To Pay Off For CVS
CVS Health swung back to a profit in the second quarter, thanks to an influx of health insurance revenue, and the company raised its 2019 forecast beyond Wall Street expectations. Shares of the drugstore chain and pharmacy benefit manager outpaced the broader market in Wednesday trading after the company detailed its better-than-expected quarterly performance. (Murphy, 8/7)

KQED: San Francisco Fentanyl Deaths Up Almost 150%
Deaths from the powerful synthetic opioid fentanyl skyrocketed in San Francisco in 2018, increasing by 147% since the previous year. That's according to the San Francisco Department of Public Health, which released data this week showing that 89 people died from accidental overdoses of fentanyl last year, compared to 36 fentanyl-related deaths in 2017. (Klivans, 8/7)

WBUR: Most Mass. Counties Have Among The Highest Rates Of Dispensing Overdose-Reversal Drug
Massachusetts has among the highest rates of dispensing naloxone, the drug that can reverse an opioid overdose, according to new federal data. Among counties nationwide, Franklin County in western Massachusetts last year had the fourth-highest rate of prescriptions for naloxone — commonly sold under the brand name Narcan — with more than 2,200 prescriptions filled for every 100,000 residents. (Bebinger and Jarmanning, 8/7)

The Wall Street Journal: Opioid Risk Smothers Drug Stocks
Even solid corporate earnings can’t reverse investor angst over drug companies facing opioid litigation risk. Generics manufacturer Teva Pharmaceutical Industries TEVA 3.26% was the latest to experience that. Sales of $4.3 billion and adjusted earnings of 60 cents a share both topped analysts’ expectations. Teva also reaffirmed its full-year guidance. That wasn’t nearly enough to reassure investors. Teva shares fell once again in morning trading and have lost more than half of their value since May. (Grant, 8/7)

WBUR: Veterans Urge Changes Before Expansion Of VA Caregivers Program
The VA program provides support and a stipend to caregivers for post-Sept. 11 veterans, usually a wife or parent. ... Almost from the start, that meant problems with uneven standards and implementation around the United States. NPR has reported on hundreds of caregivers being arbitrarily cut from the program; so has the Government Accountability Office and the VA's inspector general. (Lawrence, 8/8)

Arizona Republic: Appellate Court Upholds Ex-Phoenix VA Leader Firing For Negligence
The U.S. Court of Appeals in Washington, D.C., ruled that Lance Robinson, former associate director for the Phoenix VA Health Care System, was properly terminated based on charges of negligence and failure to provide accurate information. The circuit court concluded that the Merit System Protection Board properly sustained Robinson's removal by VA administrators two years ago. (Wagner, 8/7)

NPR: Bringing Together Young And Old To Ease The Isolation Of Rural Life
Priscilla Bogema lives in a rural town called McGregor, Minn., in a part of the state that has more trees and lakes than people. She came here about 20 years ago seeking solitude during a major crisis in her life. She had just gotten divorced and was dealing with some health problems. "So I came to a place where nobody could see me," she says. Now, Bogema is in her 60s, frail and mostly confined to her house. Her arthritis and other health problems have limited her mobility. She struggles with the upkeep of her home and yard. She drives into town once a week for groceries and a movie with other seniors. But she doesn't have close friends she sees regularly and her children and grandchildren only visit once every few months. (Chatterjee, 8/7)

The New York Times: Climate Change Threatens The World’s Food Supply, United Nations Warns
The world’s land and water resources are being exploited at “unprecedented rates,” a new United Nations report warns, which combined with climate change is putting dire pressure on the ability of humanity to feed itself. The report, prepared by more than 100 experts from 52 countries and released in summary form in Geneva on Thursday, found that the window to address the threat is closing rapidly. A half-billion people already live in places turning into desert, and soil is being lost between 10 and 100 times faster than it is forming, according to the report. (Flavelle, 8/8)

The New York Times: Another Baseball Mystery: Why Do Players Seem To Live Longer?
Major League Baseball has its problems. Attendance has slipped, fans complain the pace of play has slowed, players are convinced the baseballs are juiced and even the people running it admit its fusty rules could use an upgrade. Yet its players might take comfort in one promising bit of news: they appear to have longer life spans than other Americans. That’s the tantalizing possibility raised by a study published by Harvard researchers in the medical journal JAMA Internal Medicine. (Bakalar, 8/7)

NPR: Pittsburgh Airport's 'Sensory Room' Supports Travelers Who Have Autism
Pittsburgh International Airport recently opened a suite of "sensory rooms" inside its airside terminal to help travelers on the autism spectrum decompress from the stress of flying. It's one of a handful of airports internationally that's made changes to be more accommodating to people with special needs. The 1,500-square-foot space in Pittsburgh is quiet, muting the hustle and bustle from the terminal. Designed with input from people who have autism, it features soft furniture and whimsical lighting features, including colorful bubble towers, and multiple soundproof rooms. (Davis, 8/8)

The Associated Press: 5 Years After Ferguson, Racial Tension Might Be More Intense
Michael Brown's death at the hands of a white Missouri police officer stands as a seismic moment in American race relations. The fledgling Black Lives Matter movement found its voice, police departments fell under intense scrutiny, progressive prosecutors were elected and court policies revised. Yet five years after the black 18-year-old was fatally shot by Ferguson police officer Darren Wilson on a steamy August day, racial tension remains palpable and may be even more intense. (Salter, 8/8)

The New York Times: Catching Waves For Well-Being
Agatha Wallen’s son, Mason, has autism, and when he was 7, she heard about an initiative in San Diego aimed at children with special needs. It involved an unlikely tool: a surf board. She wasn’t sure how it would work for her son, who struggled with behavioral and sensory issues. “Even getting the wet suit on was difficult for him because it was a brand-new sensory sensation,” she recalled. (Amitha Kalaichandran, 8/8)

MPR: Less Sex, Fewer Babies: Blame The Internet And Career Priorities
The confusion over the rules of romance in the digital age shared by Koch and so many others might explain why millions of Americans are having less sex than previous generations did at the same age. Add in a focus on building a career before having a family, and it all may be contributing to a national birthrate that keeps falling. (Sanders, 8/7)

Los Angeles Times: Train Station Experiment Reveals One Way To Counteract Bias Against Muslims
An experiment conducted in German train stations involving paper cups and escaping oranges has found that people are less likely to help a woman if she appears to be Muslim — but they’re more likely to help that same woman if she somehow proves that she shares their social values. The findings, described in the Proceedings of the National Academy of Sciences, reveal that discrimination is a somewhat fluid phenomenon that can be mitigated — within certain limits. (Khan, 8/7)

Kaiser Health News: Federal Experts’ Advice On HPV Vaccine Could Leave Adults Confused
Vaccination decisions are usually pretty straightforward. People either meet the criteria for the vaccine based on their age or other factors or they don’t. But when a federal panel recently recommended an update to the human papillomavirus (HPV) vaccine guidelines, it left a lot of uncertainty. The panel recommended that men and women between ages 27 and 45 decide — in discussion with their health care providers — whether the HPV vaccine makes sense for them. (Andrews, 8/8)

The Wall Street Journal: Child Advocates Team Up With PETA On Hot-Car Deaths
The fight to stop children’s deaths in hot cars has gained an unusual ally: PETA and other animal-protection groups. These organizations have formed a surprising partnership with child-safety advocates to support a federal bill that would require car makers to install technology that senses the presence of a child or an animal. Broadening the campaign to include pet owners also aims to overcome a central challenge to solving hot-car deaths: Most people don’t believe it would ever happen to them. (Byron, 8/7)

The Associated Press: Is Pot Safe When Pregnant? Study Seeks Answer, Draws Critics
Pregnancy started out rough for Leslie Siu. Morning sickness and migraines had her reeling and barely able to function at a demanding New York marketing job, so like rising numbers of U.S. mothers-to-be, she turned to marijuana. "l was finally able to get out from under my work desk," said Siu, who later started her own pot company and says her daughter, now 4, is thriving. (Tanner, 8/7)

The New York Times: Do Older People Have A Different Smell?
During an extended period of travel last year, my husband and I lent our house in the Ozarks to an older couple who were having work done on their own house. We returned after a month away to a spotless house and two hostess gifts. But there was also a distinctive smell in the air: slightly stale and sweet, like the musty first whiff of strawberries in a cardboard box. (Bauer, 8/8)

The New York Times: Woman Dies After Legionnaires’ Disease Outbreak In Atlanta
One of a dozen people who contracted Legionnaires’ disease after staying at or visiting a hotel in Atlanta, Ga., has died, officials said this week. The woman, Cameo Garrett, died on July 9 from coronary artery disease, a condition that worsened after she contracted Legionnaires’ disease, Patrick L. Bailey, the director of the DeKalb County Medical Examiner’s Office, said Wednesday. (Brown, 8/7)

Houston Chronicle: St. Luke’s Back In Compliance With Feds
The federal government has relinquished the greater oversight it assumed over Baylor St. Luke’s Medical Center earlier this year after a patient death, a significant step forward in the historic Houston hospital’s hoped-for road to recovery. Centers for Medicare and Medicaid Services officials notified St. Luke’s late last month that it is again in compliance with the agency’s conditions of participation and its supervision has been transferred back to its accrediting body, said Doug Lawson, CEO of the medical center. (Ackerman, 8/7)

New Hampshire Union Leader: Poll Shows Seacoast Residents Support Hospitals Merging
A poll released Wednesday shows that Seacoast residents support the proposed merger between Dover’s Wentworth-Douglass Hospital, Exeter Health Resources and Massachusetts General Hospital in Boston. WDH was acquired by Mass General through a separate transaction that started three years ago, and Exeter Health Resources has been working with Mass General’s oncology program for 10 years. Officials at the three hospitals announced in May 2018 they had signed a letter of intent to form a new regional nonprofit corporation. That corporation would be the subsidiary of Mass General and would serve as the parent to WDH and Exeter Health Resources. (Haas, 8/7)

The Star Tribune: Minn. Health Officials Declare Outbreak Of Hepatitis A 
An outbreak of hepatitis A has been identified in Minnesota, prompting state health officials to appeal for broader vaccination efforts in high-risk areas such as homeless shelters and jails. While Minnesota has been insulated somewhat from a national hepatitis A outbreak — which has sickened more than 23,000 individuals and caused 233 deaths since 2016 — state officials said Wednesday that a recent uptick in cases is cause for concern. None of the Minnesotans has died, but 23 infections have been identified and 13 patients required hospital care for a virus that can cause severe liver damage. (Olson, 8/8)

Health News Florida: Memo Raises Possibility Of Medicaid Exit
A high-ranking legislative staff member has warned that a proposed constitutional amendment to expand Medicaid could forever lock Florida into the safety-net health care program, taking away the Legislature’s option to walk away from it. The warning was circulated internally among the top staff of House Speaker Jose Oliva and turned over to state economists weighing the costs of the proposed amendment, which would expand Medicaid eligibility to uninsured childless adults. (Sexton, 8/7)

The CT Mirror: Health Officials Share Concerns Over Religious Exemption To Vaccines
Connecticut health officials who gathered in Bridgeport Wednesday to declare their support for vaccines said they are increasingly concerned about the state’s religious exemption, with some calling for lawmakers to erase the provision next year. ...While the Connecticut State Medical Society has not taken a formal position on whether lawmakers should repeal the religious exemption, its president called for more public education on the benefits of immunization. (Carlesso, 8/7)

KCUR: Truman Medical Centers Paid Ransomware Attackers To Unlock Its Computer System 
Kansas City's Truman Medical Centers was hit with a ransomware attack on Tuesday morning that locked the hospital out of parts of its computer system. The attackers demanded money to unlock the data, and the safety net hospital agreed to pay a small amount, Truman said in a statement Wednesday. ...The hospital said that patients’ personal health and financial information is kept on another system and was not affected by the attack. (Margolies, 8/7)

Georgia Health News: 7 Charged In Alleged ‘Egregious’ Abuse Of Disabled Residents In DeKalb County
Seven individuals have been indicted in an alleged abuse scheme victimizing disabled adults in DeKalb County, state Attorney General Chris Carr announced Wednesday. Three of those indicted operated homes for people with mental and physical disabilities, the attorney general said in a press release. (Miller, 8/7)

Columbus Dispatch: DNA Test Kits Revealed Cincinnati Fertility Clinic Used Stranger's Sperm
A central Ohio family is suing a Cincinnati fertility clinic, hospital and lab, saying that DNA kits purchased as Christmas gifts revealed that a 24-year-old daughter is not biologically related to her father and may have been fathered by a hospital physician. In the lawsuit expected to be filed Wednesday in Hamilton County Common Pleas Court, Jennifer and Joseph Cartellone, of Delaware, and their daughter Rebecca Cartellone, of Dublin, name the Institute for Reproductive Health, the Christ Hospital and Ovation Fertility Cincinnati. (Viviano, 8/7)

The CT Mirror: Federal Judge: Prison Hepatitis C Lawsuit Will Advance
A federal judge has allowed a handful of inmates to pursue a class-action lawsuit that could force Connecticut’s prisons to screen and treat thousands of inmates for the Hepatitis C virus — a measure that could save lives and cost the state millions of dollars. The suit alleges that the Department of Correction does not adequately care for its prisoners infected with the disease, putting in jeopardy the health of those entrusted to the agency’s care. (Lyons, 8/7)

Sacramento Bee: CA Auditor Lashes At Agency Charged With Medi-Cal Oversight
In a report released Tuesday, California State Auditor Elaine Howle upbraided the state Department of Health Care Services for its failure to ensure Medi-Cal beneficiaries have adequate access and quality of care in 18 rural counties stretching from Inyo to the south to Tehama and Plumas in the north. Howle looked into the welfare of these Medi-Cal beneficiaries at the behest of the Joint Legislative Audit Committee, which wanted to know whether the patients were receiving care comparable to their peers around the state since being transitioned into managed care plans from fee-for-service plans during the Medi-Cal expansion in 2013. (Anderson, 8/7)

Kaiser Health News: Obesity Plagues Hispanics And Blacks In Colorado, Nation’s ‘Healthiest’ State
Colorado stands out on the map of U.S. obesity rates, a cool green rectangle surrounded by more alarming shades of yellow, orange and red. But upon closer inspection, Colorado weighs in as two states: one dangerously heavy and one fit and trim.There are the mostly well-educated, affluent whites, many of whom were drawn to Colorado by high-paying tech jobs and myriad outdoor opportunities. (Hawryluk, 8/8)

The CT Mirror: Office Of Health Strategy Launches Online Health Care Rating System
The state launched an online tool Wednesday intended to help consumers, businesses and health care providers navigate the state’s vast system of hospitals and providers. Lieutenant Governor Susan Bysiewicz, who joined employees from the Connecticut Office of Health Strategy at the launch announcement, likened the free tool to Consumer Reports because it will allow users to compare the quality and cost of medical care at 19 of the state’s health care organizations. (Moore, 8/7)

North Carolina Health News: North Carolina Continues To Slow Creation Of Beds For Dementia Patients 
North Carolina is greying, and with it, more people are predicted to develop Alzheimer’s disease and other forms of dementia. According to the Alzheimer’s Association, approximately 170,000 people lived with Alzheimer’s disease in North Carolina in 2018. This statistic is projected to increase by 23.5 percent in 2025, to a total of 210,000 diagnoses. Despite this expected growth, the proposed state budget  has extended a multi-year moratorium on the creation of special care units in nursing and adult care homes, which care for people with Alzheimer’s disease and other forms of dementia. (Davis, 8/8)

Boston Globe: Advocates For Homeless Rap Disposal Of Wheelchairs In Police Sweep Of Troubled District
Police conducting a sweep Tuesday in the South End oversaw the destruction of several wheelchairs belonging to homeless people, according to witnesses — resulting in a flurry of condemnation on Twitter, including strong words from a city councilor. Less than 24 hours later, city officials faced heated criticism for their actions during a South End community meeting Wednesday night regarding drug use and homelessness in the neighborhood. (Freyer and McDonald, 8/7)

Modern Healthcare: Baylor Wins False Claims Case Alleging Fraudulent Upcoding
Baylor Scott & White beat a False Claims Act whistleblower suit on Monday that claimed the Texas healthcare giant wrongly billed Medicare for more than $61.8 million over seven years. U.S. District Judge David Ezra in Texas dismissed the whistleblower's complaint, which alleged that a Baylor executive created an upcoding scheme to systematically overcharge Medicare. (Luthi, 8/7)

Modern Healthcare: UPMC, Carnegie Mellon To Use Amazon's AI Tools In Research
UPMC and other prominent Pittsburgh research organizations announced Wednesday they plan to leverage an Amazon division's machine learning capabilities to accelerate breakthroughs in patient care and product commercialization. Amazon Web Services will share its machine learning—a type of AI—and cloud computing resources with the Pittsburgh Health Data Alliance, a big data consortium formed in 2015 that includes UPMC, the University of Pittsburgh and Carnegie Mellon University. (Bannow, 8/7)

Pediatrics: State Gun Laws And Pediatric Firearm-Related Mortality
Firearms are the second leading cause of pediatric death in the United States. There is significant variation in firearm legislation at the state level. Recently, 3 state laws were associated with a reduction in overall deaths from firearms: universal background checks for firearm purchases, universal background checks for ammunition purchases, and identification requirement for firearms. We sought to determine if stricter firearm legislation at the state level is associated with lower pediatric firearm-related mortality. (Goyal et al, 8/1)

Urban Institute: How Uncertainty Surrounding The “Public Charge” Rule Leads To Hardship For Immigrant Families
Recent Urban Institute survey data show that heightened immigration-related fears and concerns are shaping immigrant families’ daily lives. Many families are changing their daily routines and avoiding safety net programs. This “chilling effect” and fear is affecting families with a wide range of immigration and citizenship statuses, including green card holders and US citizens. To complement our national survey findings, we conducted follow-up interviews with 25 adults in immigrant families in March 2019. We spoke with interviewees across the US who had reported avoiding the Supplemental Nutrition Assistance Program (SNAP), Medicaid or the Children’s Health Insurance Program, and/or housing assistance in 2018 because of immigration concerns. (Bernstein, McTarnaghan and Gonzalez, 8/7)

The Henry J. Kaiser Family Foundation: Financial Performance Of Medicare Advantage, Individual, And Group Health Insurance Markets
Medicare-for-All proposals have sparked discussion about the role of private health insurance in the U.S. health care system. Some of the current Medicare-for-All proposals would essentially eliminate private insurance. Others would allow private insurers to administer benefits under the new public program, similar to the role of Medicare Advantage plans today, which serve as a private-plan alternative to traditional Medicare. Another set of proposals would create a new Medicare-like public plan option, but preserve a role for private health insurance, including employer-sponsored coverage and policies sold to individuals and families in the Affordable Care Act (ACA) Marketplaces. (Jacobson, Fehr, Cox and Neuman, 8/5)

JAMA Internal Medicine: Effect Of A Professional Coaching Intervention On The Well-Being And Distress Of Physicians: A Pilot Randomized Clinical Trial
Among the 88 physicians in the study (48 women and 40 men), after 6 months of professional coaching, emotional exhaustion decreased by a mean (SD) of 5.2 (8.7) points in the intervention group compared with an increase of 1.5 (7.7) points in the control group by the end of the study (P < .001). Absolute rates of high emotional exhaustion at 5 months decreased by 19.5% in the intervention group and increased by 9.8% in the control group (−29.3% [95% CI, −34.0% to −24.6%]) (P < .001). (Dyrbye et al, 8/5)

The New York Times: Arthritis Tied To Heart Disease. Pain Relievers May Be To Blame.
Osteoarthritis has been linked to an increased risk for cardiovascular disease, and a new study suggests that a large part of the risk comes from the use of nonsteroidal anti-inflammatory medicines, or NSAIDs. Such drugs include ibuprofen (Advil or Motrin) and naproxen (Aleve), as well as a variety of prescription NSAIDs. Researchers used Canadian health databases to match 7,743 osteoarthritis patients with 23,229 healthy controls who rarely or never used NSAIDs. The study is in Arthritis & Rheumatology. (Bakalar, 8/7)

The New York Times: Statins Provide Heart Benefits Past Age 75
Statins are proven effective in reducing the risk for cardiovascular disease, but some studies suggests that after age 75, the risks outweigh the benefits. Now new research has found that stopping the drugs may be a bad idea. The retrospective study, published in the European Heart Journal, included 120,173 people who turned 75 while taking statins. None had any heart problems. (Bakalar, 8/5)

The New York Times: Why Doesn’t America Know More About Gun Safety?
In the wake of yet another spate of mass shootings, America is confronted with many questions. Among them: Will waiting periods on gun purchases help curb gun violence or reduce the number of gun-related deaths and injuries? What about gun buybacks? Or age restrictions? Public health experts know that far more people die of gunshot wounds than of cholera or diphtheria or polio — but they know far less about how to prevent gun violence than they do those other causes of death. Because when it comes to guns, research is still maddeningly limited. (8/7)

Fox News: Second Amendment Bars Many Gun Restrictions Being Proposed After Mass Shootings
Last weekend's mass murders in El Paso, Texas, and Dayton, Ohio, have produced a flood of words about everything from gun control to mental illness to white nationalism. Most of those words have addressed the right to keep and bear arms as if it were a gift from the government. It isn't. The Supreme Court has twice ruled in the past 11 years that the right to keep and bear arms is an individual pre-political liberty. That is the highest category of liberty recognized in the law. It is akin to the freedoms of thought, speech and personality. (Judge Andrew Napolitano, 8/8)

Los Angeles Times: Congress Should Push Red Flag Gun Laws, But Must Do More 
As he headed off Wednesday morning to Dayton and El Paso to console the most recent American communities ravaged by mass shootings, President Trump paused on the White House lawn to talk with reporters. He told them that while there might be political support for federal legislation mandating more stringent background checks for gun buyers, he did not believe there was “appetite” in Congress for a ban on civilian possession of high-capacity magazines and combat-style weapons. “So far,” he said, “I have not seen that.” May we suggest that he ask the American people — nearly two-thirds of whom support such a ban — instead of Congress, which remains under the thumb of the National Rifle Assn.? (8/8)

The Washington Post: On Guns, America Is ‘Exceptional’
As it often does after a mass shooting, the Onion posted on Sunday a new version of one of its most enduring stories, “‘No Way to Prevent This,’ Says Only Nation Where This Regularly Happens.” Then Monday morning, President Trump came before the cameras and read a speech saturated with precisely what the Onion was satirizing: the ignoramus’ version of American exceptionalism. It treats the United States as not just the greatest country on Earth but in many ways the only country on Earth, such that nothing that happens anywhere else could possibly tell us anything about ourselves or what kind of choices we might make in the future. (Paul Waldman, 8/5)

The Washington Post: George Conway And Neal Katyal: It's Time To Debate Gun Control On Its Merits
The senseless shootings in El Paso and Dayton, Ohio, should lead every American to contemplate what to do about guns. Policymakers have largely been paralyzed, partly because the public debate has been dominated by extremes. The loudest voices on the political left seek to take away as many firearms as it can, of all kinds, and to overturn Supreme Court decisions recognizing the Second Amendment right of individuals to keep and bear arms. The loudest voices on the political right, for their part, oppose virtually all gun regulation, both on policy and constitutional grounds, fearing that a slippery slope will lead to the abolition of firearms. (George T. Conway and Neal Katyal, 8/5)

Bloomberg: The Road Back From The El Paso And Dayton Shootings
Perhaps the gravest danger in the aftermath of the mass shootings in El Paso and Dayton is that these atrocities, far from bringing the country together, will divide it even more bitterly than before. The early signs are hardly encouraging. Don’t dismiss calling for unity at such times as a worthless cliché. If all its people cannot join in mourning the victims of such heinous attacks, and in resolving to guard against future barbarities, the U.S. risks being broken beyond repair. (8/7)

The Washington Post: No, Mr. President. Hate Is Not A Mental Illness.
“Mental illness and hatred pull the trigger, not the gun,” President Trump announced when he condemned shootings in El Paso and Dayton, Ohio, which together left at least 31 people dead and dozens wounded. Mr. President, what you said about hatred rings true. But you are wrong in blaming mental illness. As the father of an adult son with a mental illness and one of 14 nongovernment experts appointed by your administration to a panel that advises Congress about serious mental illnesses, I’d like to recount some well-established facts. (Pete Earley, 8/7)

The Hill: Mental Trauma From Mass Shootings — How Do We Cope? 
With two more mass shootings in the U.S. this past weekend, one in El Paso, and the other in Dayton, it’s hard not to feel horrified, depressed and even fearful. While research indicates that those who directly experience or witness mass violence have the most intense mental health reactions, even those outside the firing range can be impacted. (Joan Cook, 8/7)

The New York Times: Does Trump Help Fuel Mass Shootings?
Just how much responsibility does President Trump bear for violence motivated by racism? This week on “The Argument,” the columnists discuss the recent shootings in El Paso, Tex., and Dayton, Ohio. Michelle Goldberg sees a direct connection between the president’s dehumanizing statements about immigrants and the El Paso shooter’s self-described motivations. Ross Douthat thinks Trump has embodied and abetted a kind of spiritual emptiness that fuels mass killings. And David Leonhardt is torn about whether the politics of gun control are hopelessly mired or simply moving too slowly in response to these tragically regular shootings. (Ross Douthat, Michelle Goldberg and David Leonhardt, 8/8)

The Washington Post: The Latest Shootings Have Us Asking Why, Again, But There Never Seems To Be An Answer
I could sure use some help understanding “active shooters.” Does anybody know why they kill? I’ve watched several active-shooter emergency preparation videos — called Run, Hide and Fight — sponsored by the Department of Homeland Security. They depict horrifying reenactments of such attacks at the workplace. You can feel a chill just watching how methodically they go about the homicidal work. But there’s virtually nothing about their motives. (Courtland Milloy, 8/6)

The Wall Street Journal: Kamala Harris Has A Good Health-Care Idea 
As Democratic presidential candidates veer left to satisfy the party’s radical base, it’s easy to dismiss their ideas as “a fantasy world,” to quote Joe Biden. Even so, they occasionally have an idea worth considering. Consider Sen. Kamala Harris’s health-care plan. She starts where Bernie Sanders does, with the goal of ending both employer-based insurance and private coverage in the ObamaCare exchanges. And she corrals everyone into Medicare. So far, so radical. But unlike Mr. Sanders, she retains the Medicare Advantage program, under which more than a third of seniors enroll in private insurance. That’s a big difference. (John C. Goodman, 8/7)

RealClearPolicy: Congress Should Not Compromise Prescription Drug Safety
America is getting older. More than 10,000 Americans turn 65 every day. This demographic shift highlights the need for affordable medicines that will help older Americans stay healthy, active, and productive lives. Biologics, new treatments made from living organisms, offer relief to seniors with chronic conditions such as arthritis. Officials from the Centers for Disease Control and Prevention (CDC) estimate the number of adults in the U.S. living with arthritis to be about 54 million. The number may be even larger, with younger patients  not seeking treatment. (Richard Fiesta, 8/5)

The Washington Post: Trump And Sanders Look To Canada For Affordable Drugs. But We’re Not A Good Model To Follow — Yet.
Presidential hopefuls in the United States don’t typically campaign abroad. Sen. Bernie Sanders (I-Vt.), however, made an exception recently when he traveled across the Michigan-Ontario border on a chartered bus with diabetes patients who were headed to Windsor to purchase affordable insulin in Canada. Sanders’s foreign visit directed a message home: Prescription drug prices in America are too high and must come down. (David Moscrop, 8/7)

The Hill: If We Don't Act Fast, Hepatitis A Will Become A National Epidemic 
As a physician who is concerned about public health, I am glad that President Trump has been shining a spotlight on homelessness and associated squalor in many of our major cities. One associated public health concern is Hepatitis A, a virus that spreads through contaminated food and water. (Marc Siegel, 8/7)

Bloomberg: Mail-Order DNA Tests Can Be Fun, But They Aren’t Medical Advice
Theodora Ross, a cancer geneticist at the University of Texas Southwestern Medical Center, says that to Silicon Valley types, she is like a taxi driver competing against the more convenient, Uber-like direct-to-consumer companies such as 23andMe. “They think we don’t need to exist,” she said. The techy approach invites consumers to swab a cheek and mail in the sample, and promises to reveal a broad swath of genetic information. But unbeknownst to many seekers, direct-to-consumer services don’t deliver what a cancer geneticist like Ross does. Some people, after submitting DNA to such companies, end up in her office, panicked over what turn out to be a false results. (Faye Flam, 8/7)

El Paso Times: Why Does Texas Allow 730 People A Year To Die Needlessly?
If you could save 730 Texans' lives each year, would you? If you could, but didn't, are you a murderer? You decide. Here are the pertinent facts: Texas is the nation's most medically uninsured state, with 4.5 million uninsured, 623,000 of them children. The Affordable Care Act provided a Medicaid expansion designed to cover the working poor whose incomes were too big to qualify for Medicaid, but way too small to afford health insurance. Texas alone would have received $10 billion a year. In 2012, Texas and other Republican-run states went all the way to the Supreme Court to win the right to refuse this money. Texas' attorney general at the time, current Gov. Greg Abbott, took the lead for the plaintiff states, with the full support of then-Gov. Rick Perry. (8/7)

The Wall Street Journal: California Goes To The Rats 
Rising homelessness in California has spurred a rodent boom and resurgence of medieval disease. So naturally Democrats in the state Legislature want to ban rat poison. ...Low-income folks who live near homeless populations as usual will suffer the greatest harm from the rat-poison ban. If only there were an antidote to California’s toxic progressive politics.(8/7)