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Morning Briefing

Summaries of health policy coverage from major news organizations

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Monday, Dec 11 2023

KFF Health News Original Stories 3

  • Biology, Anatomy, and Finance? More Med Students Want Business Degrees Too
  • Watch: She Had a Home and a Good-Paying Job. Then Illness and Debt Upended It All.
  • Journalists Delve Into Gun Violence, Medicaid's 'Unwinding,' Opioid Lawsuits, and More

Note To Readers

Health Industry 1

  • Cigna Abandons Merger Talks With Humana

Science And Innovations 1

  • Access, Affordability Concerns Follow FDA OK Of Sickle Cell Gene Therapy

After Roe V. Wade 1

  • Supreme Court Weighs Hearing High-Stakes Abortion Pill Case

Outbreaks and Health Threats 2

  • Minnesota's First RSV Death Of The Season Was A 1-Year-Old
  • CDC Issues Travel Warning After 3 Die From Rocky Mountain Spotted Fever

Gun Violence 1

  • Biden Demands Congress 'Step Up' To Deal With Gun Violence Epidemic

From The States 2

  • Michigan Attorney General Warns Of Medical Brace Scamming Issue
  • Adventist, Blue Shield Contract Talks May Affect Many Californians

Editorials And Opinions 1

  • Viewpoints: How To Fix The RSV Infant Shot Shortage; Will The Public Trust New Sickle Cell Treatment?

From KFF Health News - Latest Stories:

KFF Health News Original Stories

Biology, Anatomy, and Finance? More Med Students Want Business Degrees Too

A majority of medical schools now offer dual MD-MBA programs, compared with just a quarter two decades ago. The number of medical students seeking a business degree has nearly tripled. This begs the question: Whom will these doctors serve more, patients or shareholders? ( Samantha Liss , 12/11 )

Watch: She Had a Home and a Good-Paying Job. Then Illness and Debt Upended It All.

A chronic health diagnosis and medical debt reordered Sharon Woodward's life. ( Noam N. Levey and Hannah Norman , 12/11 )

Journalists Delve Into Gun Violence, Medicaid's 'Unwinding,' Opioid Lawsuits, and More

KFF Health News and California Healthline staffers made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances. ( 12/9 )

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Here's today's health policy haiku:

A MISSING COMPONENT

Access to health care
insurance is not enough —
where are the doctors?

— Anthony Shih

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.

Note To Readers

KFF Health News is on Instagram and TikTok! Watch our videos and follow along as we break down health care headlines and policy.

Summaries Of The News:

Health Industry

Cigna Abandons Merger Talks With Humana

Unenthusiastic stakeholders and a lack of progress in negotiations over price and other financial matters have led Cigna Group to give up on the idea of combining with Humana, The Wall Street Journal reports.
The Wall Street Journal: Cigna Calls Off Humana Pursuit, Plans Big Stock Buyback 

Cigna Group abandoned its pursuit of a tie-up with Humana after shareholders balked at a deal that would have created a roughly $140 billion giant in the health-insurance industry. The companies couldn’t come to agreement on price and other financial terms, according to people familiar with the matter. In the near term, Cigna is turning its focus toward smaller, so-called bolt-on, acquisitions. (Thomas, 12/10)

In other health care industry news —

Stat: MedPAC Advises Minor Medicare Pay Raise For Doctors In 2025

On Thursday, the Medicare Payment Advisory Commission reviewed Medicare performance data and concluded that despite doctors’ protests that their pay hasn’t kept up with inflation over the last 20 years, doctors shouldn’t get more than a minor raise for 2025. On the other hand, the committee admitted hospitals could use a larger increase in payment rates. (Trang, 12/8)

Wyoming Public Radio: U.S. Supreme Court Will Hear Case Involving Health Care And The Northern Arapaho Tribe

The Northern Arapaho Tribe is taking a case against the Department of Health and Human Services to the U.S. Supreme Court. The lawsuit in question, Becerra v. Northern Arapaho Tribe, revolves around funding for health care and questions of tribal self-governance – and its outcome could have a big impact on the financial future of the tribe. (Habermann, 12/8)

Los Angeles Daily News: First Lady Jill Biden Visits Cedars-Sinai To See Research On Women’s Health

First Lady Jill Biden toured the Barbra Streisand Women’s Heart Center and Smidt Heart Institute at Cedars-Sinai Medical Center on Friday, Dec. 8, as part of the White House’s initiative on women’s health research. ... “Research on women’s health has been underfunded for decades and many conditions that mostly and only affect women, or affect women differently,  have received limited attention — like those debilitating migraines and undiagnosed heart attacks,” Dr. Biden said. (Grigoryants, 12/9)

The Baltimore Sun: Johns Hopkins University Names New CEO Of Hopkins Medicine And Dean Of School Of Medicine 

Johns Hopkins University Friday announced that Dr. Theodore L. DeWeese, who has been interim dean for the School of Medicine and interim CEO of Johns Hopkins Medicine since 2022, will take over the positions on a permanent basis. DeWeese, who joined Johns Hopkins hospital as a radiation oncology resident in 1991, was appointed to the leadership roles on a temporary basis following the retirement of Paul B. Rothman. (Roberts, 12/10)

KFF Health News: Biology, Anatomy, And Finance? More Med Students Want Business Degrees Too 

Jasen Gundersen never considered a career in business when he entered medical school nearly three decades ago to become a rural primary care doctor. But, today, he isn’t working in rural America and he doesn’t do primary care. In fact, he no longer practices medicine at all. As CEO of CardioOne, which provides back-office support to cardiologists, Gundersen is part of a growing trend: physicians and medical school students earning advanced business degrees to work the business side of the booming health care industry. (Liss, 12/11)

KFF Health News: Watch: She Had A Home And A Good-Paying Job. Then Illness And Debt Upended It All. 

Sharon Woodward used to travel the country as a medical technician. She made good money and prided herself on her skills. But in her mid-40s, Woodward retired after being diagnosed with a debilitating form of arthritis. Her condition required expensive drugs and regular medical care, which left her with more than $20,000 in medical debts. (Levey and Norman, 12/11)

Science And Innovations

Access, Affordability Concerns Follow FDA OK Of Sickle Cell Gene Therapy

The FDA authorized on Friday a pair of gene therapies for sickle cell disease, one of which is the first to gain such approval using the CRISPR gene-editing system. News outlets report on costs and paths to patients for the treatments.
The New York Times: New Sickle Cell Therapies Will Be Out Of Reach Where They Are Needed Most 

The Food and Drug Administration’s approval on Friday of two groundbreaking gene therapy treatments for sickle cell disease has brought a rare moment of hope and celebration to people with the agonizing blood disorder. But there is no clear path for the new therapies — one-time treatments so effective in clinical trials that they have been hailed as cures — to reach the countries where the vast majority of people with sickle cell live. Shortly after the approval their manufacturers announced sticker prices in the millions of dollars: $3.1 million for Lyfgenia, made by Bluebird Bio, and $2.2 million for Casgevy, made by Vertex Pharmaceuticals. *Robbins and Nolen, 12/8)

Axios: New Sickle Cell Gene Therapies Pose Cost And Access Questions

The approvals of Casgevy and Lyfgenia mark a milestone in the treatment of a debilitating disease that affects an estimated 100,000 Americans, mostly of African descent, and 20 million people around the world. ... Until now, they've have had to turn to bone marrow transplants. But the new therapies edit genes directly in a patient's body and expand the kinds of diseases and conditions researchers can target to other blood disorders, certain cancers and infectious diseases. (Bettelheim, 12/9)

Stat: Experts At ASH Cautiously Optimistic About Sickle Cell Gene Therapies

News of the Food and Drug Administration’s historic approval of the first gene therapies for sickle cell disease sparked discussion, debate, and, above all, measured optimism at this year’s meeting of the American Society of Hematology. (Wosen, 12/9)

WMFE: New Gene-Editing Treatment For Sickle Cell Could Be Great News In Central Florida

The Food and Drug Administration on Friday approved a gene-editing therapy that's seen success in treating the most severe form of the disease. CRISPR Therapeutics had the treatment, brand name Casgevy, approved in the United Kingdom last month after seeing a successful global trial in which 28 out of 29 patients reported being free of severe pain. (Pedersen, 12/9)

After Roe V. Wade

Supreme Court Weighs Hearing High-Stakes Abortion Pill Case

Supreme Court justices were expected to discuss on Friday whether to hear a case that would counter or uphold federal approval of the abortion pill mifepristone. If the court fails to take up the appeals, a lower court decision to limit the availability of the drug by mail would go into effect.
NBC News: Supreme Court Justices Discuss Whether To Hear Abortion Pill Showdown

Supreme Court justices were scheduled on Friday to discuss whether to take up a high-stakes legal fight that could result in a definitive decision on federal approval of the drug most commonly used for medication abortion. ... The court later on Friday announced it was hearing one new case but the abortion cases were not mentioned. The court could next act on Monday or later next week. (Hurley, 12/8)

The Texas Supreme Court has halted a woman's emergency abortion —

Houston Chronicle: Texas Supreme Court Blocks Order Granting Woman Emergency Abortion

The Texas Supreme Court late Friday temporarily blocked a judge’s decision to let a Dallas woman get an emergency abortion. Attorney General Ken Paxton had asked the court to intervene after a Travis County district judge ruled on Thursday that Kate Cox, 31, could terminate her pregnancy after her fetus was diagnosed with a rare and usually fatal condition. Cox argued that carrying the pregnancy to term could risk her health and fertility because she already had delivered two other children via cesarean section. (Ikramuddin, 12/8)

Reuters: Democrats, Biden Campaign Condemn Blocking Of Emergency Abortion For Texas Woman 

Top Democratic leaders and advocacy groups on Saturday condemned the Texas Supreme Court's decision to temporarily block a pregnant woman from obtaining an emergency abortion. ... The top Democrat in the House of Representatives, Hakeem Jeffries, said on Saturday, "MAGA Republicans in Texas and throughout the country are risking the lives of mothers," using an acronym for Republican former President Donald Trump's slogan "make America great again." Democratic U.S. President Joe Biden's 2024 campaign called Cox's story "horrifying" and "heartbreaking." (Singh, 12/9)

Other abortion news from Kentucky and elsewhere —

Reuters: Pregnant Woman Sues To Invalidate Kentucky's Abortion Bans 

A pregnant woman and Planned Parenthood sued Kentucky on Friday, seeking to invalidate its near-total ban on abortion, saying the law violates rights to privacy and self-determination in the state constitution. The lawsuit was filed by an anonymous woman, who is eight weeks pregnant and wants an abortion, on behalf of a proposed class of similarly situated women in Kentucky. It comes after the state's court ruled in an earlier challenge brought by Planned Parenthood and another abortion provider that providers did not have standing to sue on patients' behalf. (Pierson, 12/8)

NPR: Arizona, New Mexico, And Wyoming Supreme Courts Hear Abortion Ban Lawsuits

The future of reproductive rights for a wide swath of the Mountain West may be decided next week, as three state Supreme Courts hear arguments in cases that will determine abortion access in the region. Here's what to know. (Davis-Young, Fordham, Merzbach, 12/11)

Fox News: Red State AGs Move To Block Abortion Ballot Language Pro-Life Group Says Is 'Deceptive,' Goes Farther Than Roe

After a successful abortion ballot measure in Ohio that enshrined abortion access into the state’s constitution, attorney generals in red states are making moves to address ambiguities and euphemisms in upcoming abortion measures in their states to avoid deceptive language, an issue that pro-life groups say was critical in the Ohio vote. In Arkansas, Attorney General Tim Griffin recently rejected a proposed abortion ballot that he said had a deceptive title and misleading text. (Mark Miller, 12/11)

AP: It's Taking Longer To Get An Abortion In The US. Doctors Fear Riskier, More Complex Procedures

A woman whose fetus was unlikely to survive called more than a dozen abortion clinics before finding one that would take her, only to be put on weekslong waiting lists. A teen waited seven weeks for an abortion because it took her mother that long to get her an appointment. Others seeking the procedure faced waits because they struggled to travel hundreds of miles for care. Such obstacles have grown more common since Roe v. Wade was overturned in June 2022, doctors and researchers say, causing delays that can lead to abortions that are more complex, costly and in some cases riskier — especially as pregnancies get further along. (Ungar, 12/9)

Outbreaks and Health Threats

Minnesota's First RSV Death Of The Season Was A 1-Year-Old

Amid rising RSV, Minnesota's first death for this season was tragically young. Meanwhile, in California, Riverside County officials reported two flu-related deaths, and L.A. County reported one. Separately, researchers are making progress toward treating long covid symptoms.
CBS News: 1-Year-Old Minnesota Boy Dies After RSV Infection

Respiratory viruses are back with a vengeance. Tragically, the health department is reporting Minnesota's first RSV death of the season. It hits older folks and young kids the hardest. The number of people going to the hospital for RSV is rising rapidly. (Ali, 12/8)

Los Angeles Times: Riverside County Confirms 2 Flu-Related Deaths; L.A. County Reports 1 

With flu season in full swing, Riverside County public health officials are urging residents to get their vaccines and to take other precautions against respiratory viruses after reporting the county’s first two flu-related deaths this winter. The deaths include a 73-year-old man and a 79-year-old woman from mid- and western Riverside County, respectively. Both had underlying health issues and died at local hospitals, according to county officials. No further information was immediately provided. (Vega, 12/9)

San Francisco Chronicle: California Hospitalizations Rise With COVID, Flu And RSV Increase

California hospitals are seeing increased strain heading into the winter holiday season, with more than three-quarters of inpatient beds occupied and nearly 67% of intensive care beds in use, according to figures released Friday by the U.S. Centers for Disease Control and Prevention. But for the first time in three years, the surge is not solely attributed to COVID-19, as various viral and bacterial infections, including influenza and respiratory syncytial virus, contribute to the burden on the state’s health care system. (Vaziri, 12/8)

St. Louis Post-Dispatch: BJC Reinstates Employee Mask Requirement In Response To Uptick In Virus Cases

BJC HealthCare will reinstate a mask requirement for employees, effective Wednesday, in response to rising virus cases in the community. The health system said in a statement Saturday that it will institute temporary, heightened mask requirements from time to time, when infection rates are particularly high, and will loosen the requirements when appropriate. Beginning Wednesday, employees will be required to wear masks in patient care areas. (Merrilees, 12/9)

On the RSV and covid vaccine rollout —

The New York Times: R.S.V. Vaccine Is Slow To Reach Its Target: Older Americans 

So far, only about 15 percent of Americans over 60 have received one of the two new R.S.V. shots, which the Food and Drug Administration approved in May and are the first-ever vaccines against the disease. Just 16 percent more said they definitely planned to, according to the Centers for Disease Control and Prevention. By contrast, more than 62 percent of adults over 65 have received the recommended flu shot this fall, and a third have gotten the updated Covid-19 vaccine. (Span, 12/9)

PBS NewsHour: How Uninsured Adults Can Still Get Vaccinated Against COVID

One in six Americans have received their updated COVID vaccine so far this year, and federal data show people with little to no health insurance are far less likely to have that level of protection against severe COVID illness or death. According to data from the Centers for Disease Control and Prevention, 16 percent of U.S. adults overall had received the updated COVID vaccine as of Nov. 25. ... To address that gap, in September the CDC launched the Bridge Access Program, a $1 billion effort to deliver free COVID vaccine doses to adults who are uninsured or underinsured. (Santhanam, 12/8)

In long covid research —

CIDRAP: Experimental Drug That Alters Gut Microbiome Shows Promise For Long-COVID Relief

A randomized controlled trial in Hong Kong finds that the synbiotic drug SIM01 relieves multiple symptoms of long COVID, or post-acute COVID-19 syndrome (PACS). SIM01 contains strains of anaerobic Bifidobacterium bacteria (which are probiotics) and soluble fibers (prebiotics) to alter the gut microbiome and possibly modify immune response. (Van Beusekom, 12/8)

CDC Issues Travel Warning After 3 Die From Rocky Mountain Spotted Fever

The disease is spread by infected brown dog ticks. Other news is on a continuing outbreak of salmonella spread through cantaloupe, and chronic wasting disease.
CBS News: CDC Warns Travelers To Mexico's Baja California Of Exposure To Deadly Rocky Mountain Spotted Fever

The U.S. Centers for Disease Control and Prevention is warning travelers to Baja California, Mexico, about Rocky Mountain spotted fever, a potentially fatal bacterial disease that spreads through the bite of an infected brown dog tick, which can be carried by pets. The warning comes after a San Diego, California, resident who traveled to Baja California died last month after contracting the disease, San Diego County Public Health Services reported. (Singh, 12/8)

Another person has died from salmonella in cantaloupe —

CIDRAP: US Salmonella Cantaloupe Outbreak Doubles As CDC Confirms New Death 

The number of cases in an ongoing Salmonella outbreak tied to whole and cut-up cantaloupe has more than doubled—to 230 cases—a third death has been reported. Almost 100 people have been hospitalized, the Centers for Disease Control and Prevention (CDC) said [Friday] in an update. Since the CDC's previous update on November 30, 113 more illnesses have been confirmed, and 4 more states are affected, bringing the total to 38 states. At least 96 people have been hospitalized, including 35 new case-patients. The new outbreak-related death was in Oregon; the previous two were in Minnesota. (Wappes, 12/8)

USA Today Network: Salmonella Outbreak Continues To Spread Across US. How To Stay Safe

The CDC added the number of people affected by salmonella may be much higher. "This outbreak may not be limited to the states with known illnesses, and the true number of sick people is likely much higher than the number reported. This is because many people recover without medical care and are not tested for salmonella," the agency said. (McCloud, 12/8)

Food Safety News: Another Company Recalls Pre-Cut Cantaloupe Products Because Of Salmonella Outbreak 

TGD Cuts LLC has initiated a recall of some of its fresh-cut fruit cup, clamshell and tray products because they contain cantaloupe from TruFresh, which has the potential to be contaminated with Salmonella. This recall includes products with use-by dates of Nov. 2 through Nov. 24. Products were distributed to retail and food service locations in Maryland, Washington D.C., Virginia, Delaware, Pennsylvania, New York, New Jersey, North Carolina and South Carolina. (12/6)

Chronic wasting disease spreads to Kentucky —

CIDRAP: Kentucky Reports First Case Of Chronic Wasting Disease 

The first case of chronic wasting disease (CWD) has been detected in Kentucky, the Kentucky Department of Fish and Wildlife Resources (KDFWR) announced in a news release yesterday. CWD has now been confirmed in 32 US states. ... While no human cases have been identified, health officials urge people to avoid eating the meat of infected animals and to take precautions when field dressing or butchering cervids. (Van Beusekom, 12/8)

Gun Violence

Biden Demands Congress 'Step Up' To Deal With Gun Violence Epidemic

After the UNLV shooting, President Joe Biden on Friday stepped up his demands for action against gun violence. USA Today covers college professors calling the issue a "national menace." Meanwhile, Wyoming Public Radio reports on how stigma prevents gun owners from seeking mental health help.
Bloomberg: UNLV Shooting: Biden Calls Gun Violence An Epidemic

President Joe Biden applauded the courage of law enforcement officers who responded to the deadly shooting on Wednesday at the University of Nevada, Las Vegas, and again called for restrictions on assault weapons. Biden, speaking just miles from the campus on Friday, called gun violence an “epidemic” and said “we need Congress to step up.” (Jamrisko, 12/8)

USA Today: Third Victim ID'd In UNLV Shooting As College Professors Decry 'National Menace'

On Wednesday morning, three college professors in Las Vegas got up and went to work in Beam Hall, home of the business school at the University of Nevada. One oversaw Japanese Studies, another taught accounting, a third management of information systems. All were slaughtered, gunned down by a disgruntled former professor who came to campus with a .9 mm handgun, 150 rounds of ammunition and a vendetta. ... The Clark County Coroner's Office identified the final person killed in the shooting as Naoko Takemaru, 69, on Friday. Takemaru lived in Las Vegas and was an associate professor at UNLV, teaching Japanese studies at Beam Hall, according to her staff page on the university's website. (Schermele, Nurse, Collins and Arshad, 12/8)

San Diego Union-Tribune: “Gun Violence Has Altered…Our Daily Lives:” San Diego Joins National Vigil Honoring Those Lost By Gunfire 

Jeff Raya stood up from a Mission Hills church pew Saturday and said the name of his late aunt, Wendy Raya, who was fatally shot in Los Angeles 20 years ago, he said. A bell rang out in her honor and then sounded a dozen more times to commemorate all victims of gun violence.“(Her death) could have been prevented,” said Raya, a San Diego resident among 100 others who gathered at the Mission Hills United Methodist Church for the 11th annual National Vigil for All Victims of Gun Violence. (Murga, 12/9)

Wyoming Public Radio: Stigmas Are Stopping Firearm Owners From Seeking Mental Health Resources

Ashley Hlebinsky sat cross-legged on a wooden stage in a community center in Laramie. Two men sat next to her. “So my next question is for Devin. And then I promise I'll open it up. But I'm fascinated…You guys are getting my selfishness. Like, ‘Tell me more’,” laughed Hlebinsky as she asked the question. “So I'm kind of just wondering if you have advice for how to talk to somebody that wants to do it but is worried about the legal liability of [safe storage]. ”She was leading a town hall between two firearm owners who have been open about their own mental health struggles. Hlebinsky is having them share what they’ve done with their handguns when hard times hit. (Kudelska, 12/8)

The Guardian: Gun Violence Rate Higher In Gentrified Neighborhoods, Study Finds 

City dwellers have long noticed that gentrifying neighborhoods report more gun violence. Now, a study, published in Jama Surgery earlier this year and conducted by a team of researchers at Harvard Medical School with Brigham and Women’s hospital, shows just how much – and could suggest new ways to combat gun violence. The report found that the firearm injury incidence rate was 62% higher in neighborhoods that had gentrified between 2014 and 2019 than in non-gentrifying neighborhoods with similar sociodemographic characteristics. On top of that, it found that the gunshot injury rate was an additional 26% higher in neighborhoods that were actively gentrifying. (The study didn’t specify who was committing the violence.) (Nowell, 12/8)

KFF Health News: Journalists Delve Into Gun Violence, Medicaid's 'Unwinding,' Opioid Lawsuits, And More 

KFF Health News senior correspondent Liz Szabo described how being a victim of gun violence affects kids’ health in the long term on Spectrum News 1’s “LA Times Today” show on Dec. 6. ... KFF Health News Midwest correspondent Samantha Liss discussed Missouri’s Medicaid “unwinding” on KCUR’s “Kansas City Today” on Dec. 5. (12/9)

If you are in need of help —

Dial 9-8-8 for 24/7 support from the Suicide & Crisis Lifeline. It's free and confidential.

In other health and wellness news —

AP: Breast Cancer Survivors May Not Need Annual Mammograms: UK Study

Annual mammograms are recommended indefinitely for breast cancer survivors in many countries, including the U.S., but a large British study finds that less frequent screening is just as good. Yearly screening is meant to monitor whether cancer has come back. All that testing causes anxiety for patients and costs money. (Johnson, 12/8)

The New York Times: Genes That Boost Fertility Also Shorten Our Life, Study Suggests 

A study of DNA from half a million volunteers supports an old evolutionary theory about why our bodies eventually wear out. (Zimmer, 12/8)

The Washington Post: Toy Magnets Linked To Seven Deaths And 2,400 Hospitalizations

Federal safety regulators have warned consumers to stop using high-powered magnetic-ball toy sets that have been linked to seven deaths and hundreds of injuries. The Consumer Product Safety Commission flagged six children’s products that do not comply with U.S. safety regulations because they contain magnets small enough to go down a child’s throat. The agency pointed to seven deaths — including five in the United States — involving people who ingested the tiny magnets, as well as an estimated 2,400 emergency hospitalizations from 2017 through 2021. (Gregg, 12/8)

From The States

Michigan Attorney General Warns Of Medical Brace Scamming Issue

The issue stems from seniors being offered medical supplies they don't need, and then finding themselves stuck with the bill. Also in state health news: the Ozempic side effects lawsuit; CAR-T helping autoimmune patients; rising sales of antibiotics for food animals; and more.
CBS News: Attorney General Dana Nessel Warns Consumers Of Medical Brace Scams

Attorney General Dana Nessel is warning people about medical brace scams. ... "While there is only one confirmed Michigan resident who was targeted by this latest scam, it is critical that we alert other residents who may have also been targeted by similar operators," Nessel said. "The scam of mailing or prescribing unneeded durable medical equipment costs Medicare tens of millions of dollars every year, sometimes disqualifying patients for these devices when they really need them." (Dawson, 12/9) 

In pharmaceutical news —

Reuters: Ozempic Side Effects Lawsuit Can Move Forward 

A Louisiana federal judge on Friday largely rejected Novo Nordisk’s bid to dismiss one of the earliest lawsuits brought against the pharmaceutical company over side effects of its blockbuster drug Ozempic. U.S. District Judge James Cain Jr said plaintiff Jaclyn Bjorklund had provided enough support at this point in the case for her claim that Novo failed to warn her doctors about the risk of gastroparesis, a slowdown in the emptying of the stomach into the small intestine, associated with the drug. (Jones, 12/8)

Stat: CAR-T Helps Other Autoimmune Patients In Small Study

When the first lupus patient received CAR-T therapy, researchers watched in amazement as her autoimmune disease rapidly went into remission. Then, they monitored her disease anxiously for months, wondering if it would return — especially as her immune B cells began recovering. Now, two and a half years later, the researchers reported at the annual American Society of Hematology meeting that not only is this patient still in complete remission without the use of any immunosuppressive drugs, 14 other autoimmune patients treated with CAR-T are as well. (Chen, 12/9)

Stat: First Published Case Of Lymphoma Linked To CAR-T Therapy Is Examined 

Researchers on Saturday presented an unusual case of a T cell lymphoma marked with a CAR, the key synthetic protein in CAR-T therapy, in an online abstract for the American Society of Hematology annual meeting. It is the first published case of the rare blood cancer that’s associated with a commercial CAR-T product, the Janssen/Legend Biotech drug Carvykti, or cilta-cel in this case. But researchers are still untangling how much — if it all — the therapy contributed to the development of the blood cancer. (Chen, 12/9)

CIDRAP: New FDA Report Shows More Antibiotics Being Sold For Food Animals 

New data released yesterday by the US Food and Drug Administration (FDA) show that sales of medically important antibiotics for use in food-producing animals rose by 4% last year. ... Since 2017, antibiotic sales have steadily risen—a trend that advocates for better antibiotic stewardship in food-animal production say indicates the FDA isn't doing enough to ensure more judicious antibiotic use on farms. (Dall, 12/8)

On the opioid crisis —

Stateline: States Strive To Get Opioid Overdose Drug To More People

Posing as shoppers, a team of researchers from the University of Mississippi called nearly 600 pharmacies across the state and asked a simple, yes-or-no question: “Do you have naloxone that I can pick up today?” ...The results of the survey, conducted last year, were disheartening: Despite the Mississippi law, 41% of the pharmacies the researchers called refused to dispense naloxone. Only 37% had naloxone available for same-day pickup. Most of the pharmacies saying they could not immediately provide naloxone said it required a prescription, which was false. (Claire Vollers, 12/8)

Stat: Vertex Nears Turning Point In Pursuit Of Non-Opioid Painkillers

For decades, the biotech industry has tried — and repeatedly failed — to develop new and effective painkillers without the addictive potential of opioids. But there’s reason to think that could begin to change soon. (Wosen, 12/11)

Los Angeles Times: 31 Pharmacies In Mexico Are Shut As Authorities Crack Down On Fentanyl-Tainted Pills

Mexican authorities raided dozens of pharmacies in Ensenada and seized thousands of boxes of pills as part of a broader effort to crack down on drugstores suspected of selling counterfeit and fentanyl-tainted medications. The joint effort by the Mexican navy and federal health authorities is at least the third such operation this year. (Sheets, Blakinger and Mejia, 12/10)

Adventist, Blue Shield Contract Talks May Affect Many Californians

Contract negotiations between Adventist Health and Blue Shield of California fell through last week, and now the San Francisco Chronicle is warning thousands of Californians may have to pay out-of-network medical costs at their nearest hospital.
San Francisco Chronicle: Rift Between Adventist And Blue Shield Could Hit California Patients

Thousands of Californians may have to pay out-of-network medical costs to go to their nearest hospital after contract negotiations between Adventist Health and Blue Shield of California — a major health care provider and health insurer in the state, respectively — fell through last week. Adventist Health and Blue Shield had been in talks to reach a new contract for about 11 months, but failed to come to an agreement about reimbursement rates before the previous contract expired Dec. 1. (Ho, 12/8)

Charlotte Ledger: Charlotte Hospitals Say No To Charity That Would Erase Medical Debt

Earlier this year, Trinity Moravian Church in Winston-Salem received national attention for doing something extraordinary: It erased nearly $3.3 million in medical debt for 3,355 local families living below the poverty line. The tiny church, with an average attendance of about 75 on Sundays, did it by raising $15,000 and partnering with RIP Medical Debt, a national nonprofit that buys unpaid medical debt and forgives it. (Crouch, 12/11)

Stat: Colorado Board Leaves Vertex Drug Off A List Of Unaffordable Medicines

In a win for Vertex Pharmaceuticals, a Colorado state board voted not to place the company’s best-selling cystic fibrosis medication on a list of drugs for which payment limits will be set for most residents, including those whose insurance is covered by a government agency or a commercial health plan. (Silverman, 12/8)

AP: Some Seattle Cancer Center Patients Are Receiving Threatening Emails After Last Month's Data Breach

Some patients of a Seattle-based cancer center received threatening emails following a data breach last month. Fred Hutchinson Cancer Center officials said a Nov. 19 hack hit a portion of the health care system’s clinical network, possibly leaking patient data. This week, some former and current patients received threatening emails claiming names, Social Security numbers, medical history and other data of more than 800,000 patients had been compromised, The Seattle Times reported. (12/9)

State House News: MassHealth Will Start Covering Doula Services

Pregnant and postpartum MassHealth members are slated to gain access to doula coverage this spring as state officials aim to tackle worsening maternal health outcomes. Doula coverage will be offered during labor and delivery, as well as for visits throughout pregnancy and the postpartum period, the Executive Office of Health and Human Services announced Friday. (Kuznitz, 12/8)

CBS News: Minnesota Launches Task Force Focused On Problems Facing Rural EMS

Minnesota's emergency services providers say they're facing a crisis of their own, prompting the state legislature to form a task force focused on solutions. It had its first meeting on Friday. The EMS woes are particularly troubling in rural parts of the state, said to Rep. John Huot, an EMT for 30 years and the co-chair of the panel. He sounded the alarm that some communities can wait as long as 90 minutes to get the care they need. "We need to fix a system that's on collapse," he said in a news conference. (Cummings, 12/8)

CBS News: University Of Minnesota Medical School To Expand Program To St. Cloud

St. Cloud will soon be home to a new University of Minnesota Medical School campus beginning in 2025. Friday was a banner day for Minnesota's nationally known medical program as the Board of Regents approved the expansion of the University of Minnesota Medical School program with the addition of CentraCare Regional Campus St. Cloud location. This was the first time they've expanded the program in 50 years since the addition of the Duluth campus in 1972. (Johnson, 12/8)

On mental health care —

Houston Chronicle: Texas Named Worst State For Mental Health Care, New Report Says

Texas has less than one mental health facility for every 100,000 people, according to an analysis of Substance Abuse and Mental Health Services Administration data. ... That lack of facilities resulted in Texas being ranked as the worst state to seek mental health support, according to a new list by MentalHealthRehabs.com, a national directory of mental health providers. (Ikramuddin, 12/8)

The (Cleveland) Plain Dealer: Cleveland Prepares To Deploy More Social Workers Alongside Police For Mental Health Crises 

Cleveland is preparing to double the number of social workers who team up with specially-trained police to handle some mental health calls. With City Council approval this week, Mayor Justin Bibb received the OK to strike a new contract to provide what’s known as a co-response model of policing, in partnership with the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County. (Astolfi, 12/8)

CBS News: New York Partners With Robotics Company To Pair Seniors With AI Companions - CBS New York

 Seniors in New York have a new tool for dealing with loneliness. The state Office for the Aging is partnering with Intuition Robotics to combat senior isolation. Officials say hundreds of free artificial intelligence companions have been distributed to seniors, and 150 devices are still available. (12/8)

Editorials And Opinions

Viewpoints: How To Fix The RSV Infant Shot Shortage; Will The Public Trust New Sickle Cell Treatment?

Editorial writers discuss the RSV vaccine, sickle cell treatment, long covid and more.
Bloomberg: Messy RSV Vaccine Rollout Puts Infants At Risk

A hot new product has been sending parents of newborns on a wild goose chase this holiday season. Message boards are filled with chatter about how to find it. It could take hours on the phone to track down. No, it’s not a Furby or a Barbie Dreamhouse. It’s a new protective treatment for RSV, the respiratory virus that sends up to 80,000 babies and toddlers to the hospital each year. (Lisa Jarvis, 11/9)

Stat: New Sickle Cell Disease Gene Therapies Requires Trust From Patients 

For 39 years, I have lived with sickle cell disease. As of late, the sickle cell community has heard a lot of excitement about gene therapy’s potential to be the cure we’ve all been waiting for. That potential took a step toward fulfillment Friday when the Food and Drug Administration approved Casgevy from Vertex Pharmaceuticals’ and Lyfgenia from Bluebird Bio, both gene therapy treatments for people with sickle cell. Yet I find myself teetering between excitement and skepticism. (Jennifer Fields, 12/8)

The New York Times: Reporting On Long Covid Taught Me To Be A Better Journalist 

I wrote about long Covid in June 2020. In the following days, I got more than 100 emails from people who thought they were going mad — or had been told as much — and felt validated to see their reality reflected. That story was the first of an octet; those responses were the vanguards of thousands more. (Ed Yong, 12/11)

USA Today: Nobel Winner's MRNA Research Was Ignored. Without It, No COVID Vaccine

On Sunday, professor Katalin Karikó will receive a Nobel Prize for her research on mRNA that led to the rapid development of COVID-19 vaccines and saved millions of lives. Though most Nobel laureates remain little known, Karikó’s story is famous for the way she and her work were dismissed by colleagues and her university for decades. (Dr. Andrew Lam, 12/10)

Stat: Teach Medical Students About Patients With Intellectual Disabilities 

Oliver McGowan was 18 years old when he was hospitalized in England with recurrent seizures and pneumonia. He was autistic, and he and his parents had one specific request for the medical team: no antipsychotic medications. When he had taken them in the past, they made his seizures worse and had devastating effects on his mood. Despite the family’s vehement protests, doctors gave him an antipsychotic. A few days later, Oliver suffered a lethal neurological side effect. A week later, he was taken off life support. An inquest into his death found that the drug had led to the rapid deterioration. (Romila Santra, 12/11)

The CT Mirror: CT’s Paid Leave Can Help Women With Endometriosis

If you ask most women, they can tell you about a friend, family member, or how they themselves have experienced such debilitating pain once a month that it renders them incapacitated. For those living with endometriosis (a condition where tissue similar to the lining of the uterus grows outside the uterus) — 11% of American women between ages 15-44 according to the Office on Women’s Health — debilitating menstrual cramps, chronic pain in the lower back and pelvis, intestinal pain, and painful bowel movements or pain when urinating are common symptoms of the disease. For many individuals with endometriosis, this excruciating pain interferes with their ability to work. (Jillian Gilchrest, 12/11)

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