Bloomberg: Biden’s Shot-Or-Test Mandate Dealt Another Blow By Fifth Circuit
A U.S. appeals court has extended its Nov. 6 order pausing President Joe Biden’s shot-or-test mandate for businesses with 100 or more employees. The ruling, issued today by the New Orleans-based U.S. Court of Appeals for the Fifth Circuit, solidifies its earlier order blocking implementation of the Occupational Safety and Health Administration’s emergency regulation. Its ruling comes ahead of a Judicial Panel on Multidistrict Litigation lottery to determine which federal appeals court will be assigned to adjudicate the many legal challenges to the measure now pending across the country. The lottery is slated for Nov. 16. (Harris, 11/12)

The Hill: Federal Appeals Court Affirms Stay On Biden Vaccine Mandate For Businesses
A federal appeals court has upheld its stay on President Biden’s vaccine-or-test mandate for companies with at least 100 employees. In a 22-page ruling on Friday, the 5th U.S. Circuit Court of Appeals said the mandate was “fatally flawed,” and barred the Occupational Safety and Health Administration (OSHA) from enforcing the mandate “pending adequate judicial review” of a motion for permanent injunction. OSHA shall “take no steps to implement or enforce the mandate until further court order,” the ruling stated. (Williams, 11/12)

Axios: Federal Appeals Court Affirms Hold On Vaccine Rule For Large Companies 
A Biden administration rule requiring large companies to mandate COVID vaccines for employees or impose weekly testing is "staggeringly overbroad" and "grossly exceeds [the Occupational Safety and Health Administration's] statutory authority," a federal appeals court said Friday in an order to keep the rule on hold. Under the rule, companies with 100 or more workers must mandate vaccination or regular testing by Jan. 4. (Chen, 11/13)

Reuters: U.S. Appeals Court Affirms Hold On Biden COVID-19 Vaccine Mandate
White House officials had no immediate comment on the ruling, which was hailed as a victory by Texas Attorney General Ken Paxton. Texas joined other U.S. states, as well as private employers and religious organizations, in legal challenges to the order. "Citing Texas’s 'compelling argument[s]' the 5th Circuit has stayed OSHA’s unconstitutional and illegal private-business vaccine mandate", Paxton said on Twitter. (Whitcomb, 11/13)

Politico: Biden Nominates Califf As FDA Chief
President Joe Biden on Friday nominated former Commissioner Robert Califf to lead the Food and Drug Administration, in a move that would bring the Obama-era official back for a second tour atop the agency. The selection would end the administration's lengthy search for a permanent FDA commissioner and comes as the agency weighs a series of decisions that will determine the direction of Biden's Covid-19 vaccination campaign. (Cancryn, Lim, Thomas and Owermohle, 11/12)

Roll Call: Biden Taps Califf As FDA Commissioner
President Joe Biden announced Friday he is nominating Robert Califf to again serve as commissioner of the Food and Drug Administration. "As the FDA considers many consequential decisions around vaccine approvals and more, it is mission critical that we have a steady, independent hand to guide the FDA," said Biden in a statement. "I am confident Dr. Califf will ensure that the FDA continues its science and data drive decision-making." Califf, who previously helmed the FDA in the final year of the Obama administration, is seen as a status quo choice. (Kopp, 11/12)

Stat: Biden Taps Califf To Head FDA, Where He Has Unfinished Business
Robert Califf, President Biden’s new pick to lead the Food and Drug Administration, doesn’t have much to show for his first tenure at the agency. His grand plans for modernizing the way drug makers and the FDA collect patient data were shelved in 2017 after he left the agency’s top spot. His efforts to ban flavored tobacco products were foiled by the Obama White House. Even his push to finally fix the FDA’s hiring woes still hasn’t been fully implemented. Now Califf, who Biden formally tapped on Friday to retake the FDA’s top job, will have another shot at delivering on those promises. (Florko, 11/12)

On the job Califf faces —

Axios: The Road Ahead For Biden's FDA Nominee Robert Califf 
It's taken about 10 months for President Biden to name a nominee for the role of permanent FDA commissioner — former FDA chief Robert Califf — and it's unlikely his confirmation will be complete before the end of 2021. The agency has been without a Senate-approved commissioner for nearly a year, all while playing a central role in the response to the ongoing COVID pandemic. (Fernandez and Reed, 11/15)

In news on the federal covid response —

The Hill: Deese Stresses Need To 'Finish Job On COVID'
White House National Economic Director Brian Deese said on Sunday that officials need to "finish the job on COVID" before the long-term impact of the Biden administration's economic policies can be felt. During an appearance on ABC's "This Week," Deese was asked what the Biden administration can do to help families while the Democrats' social spending bill is debated. "I know you're hoping to pass it, but even if it does pass, it's going to take a while for the benefits to kick in. So what can Americans expect in the short term? Is inflation going to get worse before it gets better?" host George Stephanopoulos asked. (Rai, 11/14)

CBS News: Dr. Anthony Fauci: "I Didn't Create Political Divisiveness"
A case can be made that no one over the past 20 months has been more involved and more visible in the battle against COVID-19 than Dr. Anthony Fauci. More than 30 years ago, Fauci was being demonized by AIDS activists for not doing enough. These days the ranks of Fauci critics have multiplied. But if anything in this age of COVID, the charge now is that Fauci has done too much. (11/14)

The Hill: Psaki Takes Shot At Aaron Rodgers: We're Against 'Misinformation'
Press secretary Jen Psaki said Friday the White House is against misinformation when asked about celebrities, such as NFL quarterback Aaron Rodgers, who have refused to get vaccinated against COVID-19. “You know how we feel about misinformation — we're against it,” Psaki said when asked by a reporter if she had anything to say to people, such as the Green Bay Packers star, who have promoted “dubious alternatives to vaccines.” (Gangitano, 11/12)

The Washington Post: Messonnier, Birx Detail Political Interference In Last Year’s Coronavirus Response
The Trump administration repeatedly interfered with efforts by the Centers for Disease Control and Prevention last year to issue warnings and guidance about the evolving coronavirus pandemic, six current and former health officials told congressional investigators in recent interviews. One of those officials, former CDC senior health expert Nancy Messonnier, warned in a Feb. 25, 2020, news briefing that the virus’s spread in the United States was inevitable — a statement that prompted anger from President Donald Trump and led to the agency’s media appearances being curtailed, according to interview excerpts and other documents released Friday by the House select subcommittee on the pandemic. (Diamond, 11/12)

The Hill: Trump CDC Official: No 'Public Health Reason' For Border Closure, Title 42
Centers for Disease Control and Prevention (CDC) officials felt evidence “did not support” former President Trump’s decision to close the border and that the move “wasn’t based on a public health assessment at the time,” the CDC’s Trump-era deputy director told congressional investigators. Anne Schuchat’s comments, released Friday as part of a congressional select committee review of the U.S.'s coronavirus response, confirms reporting that CDC officials saw little public health rationale for Title 42, which allows for swift expulsion at the border and denies migrants the chance to seek asylum. (Beitsch, 11/12)

The Washington Post: Americans More Critical Of Biden’s Pandemic Response, Post-ABC Poll Finds 
Americans’ approval of President Biden’s handling of the coronavirus pandemic – one of his most positive assets early in his presidency – has continued on a downward trend in recent months, a Washington Post-ABC News poll found. This tracks with the trajectory of the public health crisis that seemed to be easing this summer, but roared back to life with the spread of the more-contagious delta variant and plateauing vaccination rates in some areas. (Pannett and Timsit, 11/15)

Politico: Dems' Bitter Pill: Popular Health Provisions Won't Kick In Until After The Midterms
Democrats are close to making good on long-held promises to lower prescription drug costs and make health care more affordable. The rub? Voters won’t feel much of it until after the 2022 elections. ... Indeed, by the time voters see their impact, the election will have passed. Penalties on drugmakers that hike prices faster than inflation and a new $35-per-month cap on insulin won’t begin until 2023. A $2,000 cap for all out-of-pocket drug spending for seniors won’t be implemented until 2024, and the lower prices Medicare will negotiate with pharmaceutical companies for some of the most expensive drugs won’t be available until 2025 — with a full phase-in coming in 2028. Coverage of hearing aides under Medicare, another one of the provisions most popular with voters, will similarly not begin until 2024. (Miranda Ollstein and Barrón-López, 11/15)

The Wall Street Journal: Democrats Try To Heal Rifts, Pass $2 Trillion Spending Bill 
House Democrats will return this week with the goal of passing a roughly $2 trillion social spending and climate package. To be successful, members must remain united amid intraparty friction that some lawmakers say is the worst they have seen in their time in Congress. The tensions ramped up this month as Democrats worked to pass their  separate $1 trillion bipartisan infrastructure bill, which has been linked for months with the larger spending package. Party leaders emerged victorious on the infrastructure bill, but only because 13 Republicans brought it over the finish line after six Democrats voted no, protesting a decision to delay the social spending bill. (Andrews, Collins and Parti, 11/14)

AP: Democrats Push For Paid Family Leave Ahead Of Critical Votes
Longtime advocates of paid family and medical leave are scrambling to make sure that the long-sought Democratic priority remains in a massive social and environmental spending bill after House Speaker Nancy Pelosi revived it. But the outcome will likely come down to the support of one man. The one Senate Democrat who opposes including paid leave in the spending package is West Virginia Sen. Joe Manchin, a moderate who has used his leverage in the evenly divided chamber to whittle away some of his party’s most ambitious and costly policy proposals. (Clare Jalonick, 11/15)

In news on opposition to some clauses in the bill —

The New York Times: Faith Groups Push To Scrap Mandates In Biden’s Child Care Plan
A coalition of conservative religious groups is waging an intensive lobbying effort to remove a nondiscrimination provision from President Biden’s ambitious prekindergarten and child care plans, fearing it would disqualify their programs from receiving a huge new infusion of federal money. The fight could have major consequences for a central component of Mr. Biden’s $1.85 trillion social policy bill, which the House is to consider as soon as this week. It could go a long way toward determining which programs, neighborhoods and families can benefit from the landmark early-childhood benefits established in the legislation, given that child care centers and preschools affiliated with religious organizations make up a substantial share of those offered in the United States — serving as many as 53 percent of families, according to a survey last year by the Bipartisan Policy Center. (Broadwater, 11/14)

On who will implement the infrastructure bill —

Reuters: Biden Names Former New Orleans Mayor Mitch Landrieu To Oversee Infrastructure Plan
President Joe Biden named former New Orleans Mayor Mitch Landrieu to oversee implementation of the $1 trillion infrastructure plan, the White House said on Sunday. Landrieu, also a Democratic former Louisiana lieutenant governor, led New Orleans from 2010 to 2018. He played a key role in helping the city rebound from the devastating Hurricane Katrina in 2005. Biden, who will sign the infrastructure bill into law on Monday, named Landrieu senior adviser responsible for coordinating implementation of the bill that includes big jumps in spending on roads, bridges, rail, airports, transit, ports, broadband internet and removing lead pipes. (Holland and Shepardson, 11/15)

Bloomberg: Costly Alzheimer’s Drug Fuels Record Medicare Premium Hike
The standard monthly premium for Medicare outpatient, or “Part B,” coverage, will be $170.10 in 2022, up from $148.50 in 2021, senior Biden administration officials said Friday. The $21.60 increase is the largest annual dollar-amount rate hike ever for Part B coverage, while the 14.5% increase is the third-largest percentage increase since 2007. (Pugh, 11/12)

The Hill: Medicare Premiums To Jump In Part Due To Pricey Alzheimer's Drug
Seniors on Medicare will have to pay more than $20 more per month extra in premiums next year, a large increase that officials in part attributed to possible coverage of a pricey and controversial new Alzheimer's drug. The Biden administration announced Friday that the monthly premium for Medicare Part B, which covers services like doctors office visits, will increase by $21.60, from $148.50 in 2021 to $170.10 in 2022. Officials said that is one of the largest increases in recent years. (Sullivan, 11/12)

Modern Healthcare: Medicare Premiums Will See Big Increase In 2022
Medicare members' monthly premiums for physician and outpatient services will increase nearly 15% in 2022, the Centers for Medicare and Medicaid Services said in a news release Friday. The agency attributed the increases to rising healthcare prices driven by COVID-19-related care, lawmakers' moves to lower 2021 premiums during the pandemic and the potential for pricey drugs like Biogen's Aduhelm to receive coverage. (Tepper and Goldman, 11/12)

In other Medicare news —

Modern Healthcare: Biden Repeals Trump-Era Medicare 'Breakthrough' Coverage Policy
The Centers for Medicare and Medicaid Services finalized its decision Friday to repeal a rule that would have created an expedited Medicare coverage pathway for medical devices considered "breakthrough technology." The rule, originally finalized in the last days of the Trump administration, would have allowed Medicare to cover devices deemed "breakthrough" by the Food and Drug Administration for four years once they received market authorization. Medicare beneficiaries can currently get breakthrough devices covered through other methods, like a national coverage determination, but this would have sped the process. (Goldman, 11/12)

Also —

KHN: Journalists Offer Primers On Medicare Open Enrollment And Death Benefits Amid Covid
KHN contributing writer and former columnist Michelle Andrews discussed on Newsy on Tuesday how unvaccinated workers risk losing the death benefits they would have otherwise received if they die of covid-19. KHN chief Washington correspondent Julie Rovner discussed Medicare open enrollment on WBUR-NPR’s “Here & Now” on Monday. She also discussed covid vaccines for children on WAMU-NPR’s “1A” on Nov. 5. (11/13)

The Washington Post: DeSantis Brings Back Florida Lawmakers To Crack Down On Pandemic Mandates
A special legislative session dubbed “Keep Florida Free” begins Monday at the behest of Gov. Ron DeSantis, who wants lawmakers to pass more measures to block coronavirus vaccine mandates by public and private employers. The four bills being considered would ratchet up the penalties for businesses, local governments and other entities that require workers to be vaccinated against the virus and students to wear masks in school. According to DeSantis (R), the session will strengthen as well as augment rules already in place — in part through his own executive orders. (Rozsa, 11/14)

WFSU: Florida Special Session Begins Taking Up Vaccine And Mask Mandates 
Florida lawmakers are returning to Tallahassee to take up a slate of bills that would push back against the federal government’s vaccine mandates and limit local government authority to require COVID-19 immunizations. Gov. Ron DeSantis’ administration has been engaged in a game of whack-a-mole with local municipalities and school districts over vaccine and mask mandates. He tried to ban school districts from requiring students to wear face coverings without letting parents opt out — a move that triggered lawsuits and fines and caused the federal government to jump into the fray. (Hatter, 11/15)

On the response to Florida's moves —

WUSF Public Media: Feds Push Back Against Florida's Challenge To The OSHA Vaccine Mandate 
Biden administration attorneys late Friday urged a federal appeals court to reject a request by Florida, Georgia and Alabama to put on hold a rule that would require tens of millions of workers nationwide to be vaccinated against COVID-19 or be regularly tested and wear masks. In a 26-page document filed at the 11th U.S. Circuit Court of Appeals, federal attorneys said the rule, issued this month by the Occupational Safety and Health Administration, is expected to save thousands of lives. (Saunders, 11/14)

WUSF Public Media: Florida Health Providers Are Caught Between The State And Federal Government On Vaccinations
With Florida lawmakers expected this week to try to thwart vaccination mandates, a long-term care industry group raised concerns Friday about a conflict with a new federal rule that requires health care workers to be vaccinated against COVID-19. LeadingAge Florida, which represents nursing homes and other types of senior facilities and communities, called on lawmakers to include an exemption for health care providers in legislation that likely will pass during a special session that starts Monday. The federal Centers for Medicare & Medicaid Services last week issued a rule requiring workers at health care facilities that take part in the Medicare and Medicaid programs to be fully vaccinated by Jan. 4. (Saunders, 11/15)

Resistance doesn't just come from Florida —

The Washington Post: Vaccine Mandate: Oklahoma National Guard Leader Rejects Pentagon Directive
The Oklahoma National Guard has rejected the Defense Department’s requirement for all service members to receive the coronavirus vaccine and will allow personnel to sidestep the policy with no repercussions, an order from the governor that could serve as a blueprint for other Republican-led states that have challenged Biden administration mandates. Brig. Gen. Thomas Mancino, appointed this week by Gov. Kevin Stitt (R) as adjutant of the state’s 10,000 National Guard soldiers and airmen, on Thursday notified those under his command that they are not required to receive the vaccine and won’t be punished if they decline it. (Horton and Lamothe, 11/13)

The New York Times: Dozens Of N.Y.C. Sanitation Workers Were Suspended During An Inquiry Into The Use Of Fake Vaccine Cards
Several dozen New York City workers have been suspended without pay as a part of an investigation into the use of fake vaccine cards at the Department of Sanitation, a city official with knowledge of the investigation said. The investigation will include a thorough review of vaccination records to determine how widespread the fraud might be, said the official, who was not authorized to comment on the investigation and spoke on the condition of anonymity. The development is the latest in a protracted debate over the city’s vaccine mandate for municipal workers. (Ashford, 11/14)

In other news about mandates —

CNN: Colorado Coronavirus: State Announces Vaccine Mandate For Certain Indoor Events As Mountain West States Grapple With Surge 
With hospitals throughout Colorado facing increases in Covid-19 hospitalizations, state officials announced that attendees of large public indoor events in certain jurisdictions must be vaccinated in order to help curb the virus' spread. Gatherings of more than 500 people in parts of metro Denver will require attendees to provide proof of vaccination, according to an amended public health order released Sunday, with exceptions provided to places of worship. (Caldwell and Sutton, 11/15)

AP: Missouri To Let Nursing Homes Close Due To Vaccine Mandate
The Missouri health department is giving nursing homes a legal pathway to temporarily shut down if they face staffing shortages because of a new mandate from President Joe Biden's administration for healthcare workers to be vaccinated against COVID-19. An emergency rule published Friday from the state Department of Health and Senior Services would allow skilled nursing and intermediate care facilities to close for up to two years, if they are short staffed because of the vaccine requirement. They could then reopen without having to start the licensure process from scratch. (11/12)

NBC News: Covid Vaccine Mandates Push Some Holdouts To Get The Shot — And Then 'Detox'
In a TikTok video that has garnered hundreds of thousands of views, Dr. Carrie Madej outlined the ingredients for a bath she said will “detox the vaxx” for people who have given into Covid-19 vaccine mandates. The ingredients in the bath are mostly not harmful, although the supposed benefits attached to them are entirely fictional. Baking soda and epsom salts, she falsely claims, will provide a “radiation detox” to remove radiation Madej falsely believes is activated by the vaccine.  Bentonite clay will add a “major pull of poison,” she says, based on a mistaken idea in anti-vaccine communities that toxins can be removed from the body with certain therapies. (Collins, 11/12)

The New York Times: Colorado Governor Says He Is ‘Frustrated’ With Federal Regulators On Boosters
As federal regulators consider a request to expand eligibility of Pfizer-BioNTech’s coronavirus vaccine boosters to all adults, three states decided this past week to broaden access on their own. Colorado, New Mexico and California are allowing adults to seek out boosters, provided individuals are at least six months past the second dose of the Pfizer-BioNTech or Moderna vaccines, or two months past the single-dose Johnson & Johnson vaccine. “I’ve been very frustrated with the convoluted messaging out of the C.D.C. and the F.D.A.,” said Gov. Jared Polis of Colorado on Sunday on the CBS show “Face the Nation,” referring to the Centers for Disease Control and Prevention as well as the Food and Drug Administration. (Hoffman, 11/14)

CBS News: Gottlieb Says Messaging On COVID-19 Boosters Could Be "One Of The Biggest Missed Opportunities In This Pandemic"
Dr. Scott Gottlieb, the former commissioner of the Food and Drug Administration (FDA), said Sunday that the mixed messaging by the federal government over who can and should receive a COVID-19 booster shot may end up being one of the most consequential missteps of the pandemic.  "I think the confusing message around the boosters may end up being one of the biggest missed opportunities in this pandemic. We now see very clear evidence of declining vaccine effectiveness over time," Gottlieb said on "Face the Nation." "There's different reasons why that may be the case, but the trend is unmistakable." (Hayes, 11/14)

On the rollout of boosters for adults —

The Hill: New Mexico Extends Eligibility For COVID-19 Boosters To All Adults
New Mexico is extending eligibility for COVID-19 boosters to all adults, joining California and Colorado. New Mexico Gov. Michelle Lujan Grisham (D) announced Friday that all adults were eligible to get a booster shot of the coronavirus vaccine. “As we have throughout this unpredictable and unprecedented global pandemic, we always stand ready to quickly implement new tools and policies in our fight against this terrible disease,” Lujan Grisham said. (Lonas, 11/13)

Axios: All Adults In California, Colorado, New Mexico Can Get COVID Boosters 
California, Colorado and New Mexico this week have expanded COVID-19 booster access to all adults. Federal officials have recommended largely limiting the doses to people who are 65 and older, have underlying health conditions or work in high-risk environments... California, Colorado and New Mexico have all seen high rates of COVID transmission in recent weeks, according to the Centers for Disease Control and Prevention. (Chen, 11/13)

CBS News: COVID Booster Shots Allowed For All Adults In California, Colorado And New Mexico
Three states — California, Colorado and New Mexico — are allowing COVID-19 booster shots for all adults, even though federal health officials recommend limiting shots to patients considered most at risk. The three states have some of the nation's highest rates of new COVID infections. "This is really a critical moment in the pandemic," Colorado Governor Jared Polis said. "It has never been more dangerous for the unvaccinated than it is right now." (11/13)

The New York Times: Efficacy Of COVID Vaccines Wanes, Fueling Boosters Debate
As tens of millions of eligible people in the United States consider signing up for a COVID-19 booster shot, a growing body of early global research shows that the vaccines authorized in the United States remain highly protective against the disease’s worst outcomes over time, with some exceptions among older people and those with weakened immune systems. But although the vaccines’ effectiveness against severe disease and hospitalization has mostly held steady, even through the summer surge of the highly transmissible delta variant, a number of published studies show that their protection against infection, with or without symptoms, has fallen. (Schoenfeld Walker and Holder, 11/14)

Bloomberg: Pfizer Shot Generated Most Antibodies In Comparative Study
Pfizer Inc. and BioNTech SE’s Covid-19 shot yielded the strongest immune response among four vaccines tested in a study, which found people getting Sinopharm’s inoculation may be particularly susceptible to a breakthrough coronavirus infection. Levels of protective antibodies to the part of the coronavirus that SARS-CoV-2 uses to infect human cells varied widely across each of the four vaccine groups. “Relatively low” antibody concentrations were stimulated by the Sinopharm and Sputnik V vaccines, intermediate levels for the AstraZeneca Plc vaccine, and the highest values for the Pfizer-BioNTech vaccine, a study in the journal Cell Host and Microbe showed. (Gale, 11/15)

Bloomberg: Moderna Vaccine's Connection To Myocarditis Needs More Study 
Some 71 million Americans have been vaccinated with the Moderna vaccine. The company has seen its stock price soar. But last week, Moderna announced that the U.S. Food and Drug Administration would take more time to decide whether the company’s two-dose vaccine could be used on children aged 12 to 17 after studies showed the vaccine resulted in a higher incidence of myocarditis, or inflammation of the heart, in males. (Therese Raphael and Sam Fazeli, 11/15)

Reuters: U.S. Administers Over 440 Mln Doses Of COVID-19 Vaccines
The United States had administered 440,559,613 doses of COVID-19 vaccines in the country as of Sunday morning, the U.S. Centers for Disease Control and Prevention said. Those figures are up from the 439,034,461 vaccine doses the CDC said had gone into arms by Nov. 13. The agency said 226,607,653 people had received at least one dose while 195,120,470 people had been fully vaccinated as of 6:00 a.m. ET on Sunday. (11/14)

On the vaccine rollout for younger kids —

The Washington Post: After School Ends, D.C. Kids Prep To Receive The Covid Vaccine: ‘Do I Need This Card?’
D.C. Health said it did not have data available on how many 5-to-11-year-olds in all had received their first dose across the city. Two hundred and fifty doses were available at each clinic, according to D.C. Health. But on Tuesday in Mount Pleasant, a large crowd of parents lined up outside the Bancroft gymnasium doors, some of whom would later have to be turned away by school staff as the clinic ran low on doses. (Asbury, 11/12)

The Wall Street Journal: Covid-19 Cases Rise In Pockets Of North And West, Halting Delta Variant’s Decline In U.S.
Covid-19 cases are climbing in places like the upper Midwest, Southwest and parts of the Northeast, hindering the nation’s progress in ending a surge triggered by the highly contagious Delta variant of the coronavirus. Nationally, the seven-day average of new cases appears to be edging back up after hovering just above 70,000 for several weeks, according to data from Johns Hopkins University, halting what had been a decline from the Delta-fueled peak that began in September. While the Southeast cools off from its summer surge, other regions are under pressure, including places where colder weather has brought people back indoors where the virus can more easily spread. (Kamp and Maher, 11/14)

ABC News: Colorado Hospitals On Edge Amid Renewed COVID Surge, Staffing Shortages
As winter approaches, hospitals across the state of Colorado are facing a renewed COVID-19 crisis with an influx of patients flooding into health care facilities. Front-line workers continue to bear the brunt of the state's latest wave, with staffing shortages only exacerbating existing issues. "Our hospitals and ICUs are filling up with patients who are going on ventilators and many of them dying," Dr. Diana Breyer, a critical care physician at UCHealth, told ABC News. (Mitropoulos, 11/14)

Also —

Axios: Breakthrough COVID Cases Are Rising — And Better Rapid Tests Can Help 
Rapid at-home COVID-19 tests that can automatically verify and report positive cases could be especially useful in the next phase of the pandemic. As breakthrough cases rise with the inevitable waning of vaccination-induced immunity, cheap, plentiful screening tests that automatically send results back to health authorities could keep infections down while allowing full reopening. (Walsh, 11/13)

Covid affects animals too —

The New York Times: Three ‘Beloved’ Snow Leopards Died Of Covid Complications At Nebraska Zoo
Three snow leopards died of complications related to Covid-19 at a zoo in Lincoln, Neb., despite efforts by staff to restore them to health after they tested positive for the virus about a month ago, zoo announcements said. The Lincoln Children’s Zoo lamented the deaths of Ranney, Everest and Makalu in a Facebook post on its official page Friday evening, saying the mountain cats “were beloved by our entire community inside and outside of the zoo.” “This loss is truly heartbreaking, and we are all grieving together,” the statement said. (Manuel Ramos, 11/14)

Meanwhile, a California doctor raises local alarm based on U.K. kids' infections —

Los Angeles Times: COVID Surge Fueled By Kids In U.K. A Warning For California
Unvaccinated adolescents have been the driving force behind a stubbornly persistent Delta surge in Britain, a potential warning sign for California if inoculation rates don’t improve considerably among this age group, health experts warn. Dr. George Rutherford, a UC San Francisco epidemiologist and infectious-disease expert, said unvaccinated 10- to 14-year-olds are driving the pandemic in the United Kingdom, with case rates among these ages significantly higher than any other group. (Lin II and Money, 11/14)

AP: More Turn To Abortion Pills By Mail, With Legality Uncertain
The COVID-19 pandemic and Texas’ near-ban on abortion fueled increased interest in obtaining abortion medications by mail. But with the legality in doubt in several states, some people looking to get around restrictions may not see it as worth the risk. The matter is taking on new urgency with the Supreme Court set to hear arguments next month in Mississippi’s bid to erode the Roe v. Wade decision guaranteeing the right to an abortion. Some abortion-rights advocates worry that whatever state officials and anti-abortion groups promise, people ending their pregnancies at home will face criminal prosecutions. (Hanna, 11/13)

The Wall Street Journal: Boys Have Eating Disorders, Too. Doctors Think Social Media Is Making It Worse
Eating disorders are on the rise among boys, say doctors, who think images and videos on social media are a factor. Pediatric wards are seeing more eating-disorder cases overall, with boys making up an increasing share of patients. Cases with boys are often more severe than with girls, the doctors say, because boys’ disorders often go unnoticed until they are far along, and because eating disorders are largely believed to mostly affect young women. (Jargon, 11/13)

AP: Thousands Of Military Families Struggle With Food Insecurity
It’s a hidden crisis that has existed for years inside one of the most well-funded institutions on the planet and has only worsened during the coronavirus pandemic. As many as 160,000 active-duty military members are having trouble feeding their families. That estimate by Feeding America, which coordinates the work of more than 200 food banks around the country, underscores how long-term food insecurity has extended into every aspect of American life, including the military. (Khalil, 11/15)

CIDRAP: US Flu Shows Another Small Rise, With 90% Of Cases In Young People
Though the nation's flu activity is still at low levels, the number of detections has increased in recent weeks, mostly due to the H3N2 strain and with 90% of cases in people ages 5 to 24, the US Centers for Disease Control and Prevention (CDC) said today in an update that covers last week. Most flu markers remained below baselines, and the CDC notes that public health labs over the past 3 weeks have reported H3N2 in 7 of 10 of US regions. Flu seasons dominated by H3N2 are concerning, because the subtype causes more severe illness in older people and vaccines don't typically protect as well against it. (11/12)

WUSF Public Media: Is Your Tap Water Contaminated? This Website Will Let You Know 
In a push for stricter Environmental Protection Agency policies and funding hikes, the Environmental Working Group, through its recently updated database, tracks potentially dangerous chemicals in millions of Americans’ drinking water that are linked to brain damage, cancer and more. The environmental nonprofit has released the newest version of its database to call attention to “antiquated infrastructure and rampant pollution of source water, while out-of-date EPA regulations — often relying on archaic science — allow unsafe levels of toxic chemicals in drinking water.” (Miller, 11/12)

In news on the decline of rural pharmacies —

KHN: How Rural Communities Are Losing Their Pharmacies
Batson’s Drug Store seems like a throwback to a simpler time. The independently owned pharmacy in Howard, Kansas, still runs an old-fashioned soda counter and hand-dips ice cream. But the drugstore, the only one in the entire county, teeters on the edge between nostalgia and extinction. Julie Perkins, pharmacist and owner of Batson’s, graduated from the local high school and returned after pharmacy school to buy the drugstore more than two decades ago. She and her husband bought the grocery store next door in 2006 to help diversify revenue and put the pharmacy on firmer footing. (Hawryluk, 11/15)

007, seriously, has something to say about being healthy nowadays —

Axios: A Study On The Many Health Risks Faced By 007, James Bond 
A mostly serious new study analyzes James Bond's exposure to infectious diseases through his 27 films and finds that 007 is a walking occupational health catastrophe. James Bond's license to kill is more like a license to ill. The researchers looked at the 86 international trips Bond has taken over his film oeuvre and "examined adherence to international travel advice" for sexual health, tropical diseases and general stress. (Walsh, 11/13)

On health care costs —

KHN: Your Out-Of-Pocket Health Care Costs Need Not Be A Mystery
If you’ve ever had a serious illness or cared for someone who has, you know how quickly the medical bills can pile up: from labs, radiology clinics, pharmacies, doctors, different departments within the same hospital — some of them in your insurance network, others not. It can be extremely confusing, no matter how clever you are, to determine which bills you need to pay. If you’re sick, or have technological, cultural or language barriers — not to mention financial difficulties — navigating this maze can be especially intimidating. (Wolfson, 11/15)

CIDRAP: COVID-19, Flu Vaccines Safe To Give At The Same Time, Study Shows
A UK study yesterday in The Lancet finds that flu and COVID-19 vaccines can be safely co-administered. Led by researchers from the Weston NHS Foundation Trust and the University of Bristol, the multicenter phase 4 clinical trial involved 679 adults at 12 UK sites. Participants were randomly assigned to receive one of three inactivated age-appropriate seasonal flu vaccines and either the second dose of a Pfizer/BioNTech (BNT162b2) or AstraZeneca/Oxford (ChAdOx1) COVID-19 vaccine or a placebo from Apr 1 to Jun 26, 2021. (11/12)

CIDRAP: Non-White Race Tied To Higher Risk For COVID Infection, Severity
A US meta-analysis and systematic review of data on 4.3 million patients analyzed in 68 cohort and cross-sectional studies shows that, relative to White people, Black, Hispanic, and Asian populations were at higher risk for COVID-19 infection and admission to an intensive care unit (ICU) but were less likely to die of the disease. The study, published yesterday in JAMA Network Open, was designed to uncover the link between socioeconomic determinants of health and racial disparities in COVID-19 outcomes. (Van Beusekom, 11/12)

Stat: 8 Lingering Questions About The New Covid Pills From Merck And Pfizer
The past two months have brought extremely good news in the fight against Covid-19. Two different oral treatments have proved effective at both preventing people newly diagnosed with Covid-19 from entering the hospital and from dying. “We’re accelerating our path out of this pandemic,” President Biden said after data on the second Covid pill became available. The wide availability of oral drugs could make Covid-19 less lethal, making it less risky for people to return to in-person work and to their normal lives. (11/15)

In other medical research news —

Axios: Psilocybin Trial Reveals Drug's Efficacy In Treating Serious Depression 
The largest-ever study of the psychedelic drug psilocybin revealed Tuesday that the drug is effective in treating serious depression, Stat News reports. The Compass Pathways study, which is the "largest randomized, controlled, double-blind trial of psilocybin," found that patients who were given the highest dose of the drug had a significant decrease in depressive symptoms as compared to the placebo group, per Stat. (Doherty, 11/13)

Ames Tribune: Iowa State Study Links Being Sedentary With Worse Mental Health
As Americans spent more time at home in the early months of the COVID-19 pandemic, some studies have shown they spent more time sitting, too. And, according to research from Iowa State University's Wellbeing and Exercise Laboratory, that extra sedentary time is associated with higher rates of depression. (Rosario, 11/12)

NBC News: People Got Sicker During The Pandemic, Even Without Covid-19
A new study found that the number of Americans able to keep their blood pressure at healthy levels dropped significantly in 2020 —either because people avoided the doctor's office or were unable to get care because their physicians closed their offices temporarily during the pandemic. The research, presented Saturday at an annual meeting of the American Heart Association, showed that on average, only 53.3 percent of adults in the U.S. had their blood pressure under control last year, compared to 60.5 percent in 2019. (Edwards, 11/13)

AP: Kaiser Permanente, Unions Reach Labor Deal To Avert Strike
An alliance of unions representing 50,000 Kaiser Permanente workers in California, Oregon and six other states called off a strike notice after reaching a tentative labor deal Saturday with the health care network. The Alliance of Health Care Unions and Kaiser Permanente jointly announced the agreement, staving off a potentially crippling strike in which 32,000 employees, most of them in Southern California, threatened to walk off the job this coming Monday to protest understaffing and wage cuts for new hires. (11/14)

Axios: Kaiser Permanente Averts Strike In Tentative Deal With Health Care Workers 
Union leaders representing nearly 50,000 health care workers and medical staff reached a tentative agreement in a labor dispute Saturday, avoiding a strike set to begin Monday. The breakthrough in talks comes as nurses, front-line technicians and other hospital employees face worker shortages and burnout due to the ongoing COVID-19 pandemic. (Frazier, 11/14)

In other industry news —

The Boston Globe: Mass General Brigham Resists The Lead Of Hospitals Banning Or Limiting Trustee Investments In Its Startups
Last month, Dana-Farber Cancer Institute in Boston adopted tough new rules to ensure that its trustees don’t profit personally from their prestigious volunteer role, one that gives them front-row seats to cutting-edge — and potentially lucrative — ideas for fighting cancer. Joining several other leading US hospitals, the institution banned trustees from newly investing in startup companies based on discoveries made in Dana-Farber’s labs. The sudden change came as the Globe Spotlight Team found that at least seven trustees had personally invested in Dana-Farber startups, including one trustee who cofounded five startups and saw his stock shares in one soar by about $85 million as of this fall. (Kowalczyk and Ryley, 11/12)

Crain's New York Business: Report: New York Hospitals Have Placed Thousands of Liens on Patients' Homes Over Bills
Hospitals across New York have filed thousands of liens on the homes of patients with outstanding medical bills, according to a report released Wednesday by the Community Service Society of New York. Fifty-six New York hospitals placed 4,880 liens on patients' homes in 2017 and 2018, the most recent years for which data was available, the nonprofit found. Simultaneously, the hospitals received more than $442 million in state funds meant to help them cover care for patients who are unable to pay, the report said. (Kaufman, 11/12)

Modern Healthcare: Illinois’ $16 Billion Health Program Riddled With Industry Ties and Potential Conflicts of Interest
The upper echelon of the state agency charged with overseeing Medicaid is peppered with representatives of the for-profit insurance industry state officials are supposed to be policing, a Better Government Association investigation has found. An examination of state contracts, salary data, pension statements, court records and internal correspondence identified more than a dozen top-level Medicaid officials in Illinois who have current or recent financial ties to the giant insurance companies now managing the $16 billion per year taxpayers spend to provide medical care to people who cannot afford health coverage. (Jackson, 11//12)

Modern Healthcare: Next Up Podcast: Strategic Planning For The Nursing Shortage With Kathleen Sanford (Pt. 2)
Hello and welcome to Modern Healthcare’s Next Up, the podcast for women who are emerging healthcare leaders. My name is Kadesha Smith. I'm your host and I am also the CEO of CareContent, a digital marketing agency for healthcare organizations. Today, we are continuing our conversation about the impending nursing shortage. (Smith, 11/12)

Stat: When FDA Rattles Its Sabre, Drug Makers And Universities Start Reporting Overdue Trial Results 
Over the past eight years, more than 90% of drug makers and universities that received preliminary warnings from U.S. regulators about overdue clinical trial results responded by quickly providing the information to a federal database, a new analysis found. Using Freedom of Information Act requests, researchers obtained 58 preliminary warnings the FDA sent to clinical trial sponsors — including 32 issued to drug makers — from 2013 through April 2021. Of these, 57 described potential missing trial results and one referred to missing information about registering a clinical trial, according to the analysis, which was published in JAMA. (Silverman, 11/12)

In news on Philips —

Reuters: Philips In Talks With FDA After New Ventilator Findings - Statement
Philips (PHG.AS), the medical equipment maker that is recalling ventilators due to use of parts containing a potentially hazardous foam, said on Sunday it is in dicussions with U.S. regulators after a new inspection of one of the company's facilities. Philips in September estimated it will replace up to 4 million vetilators and respiratory devices because of a polyurethane foam part that might degrade and become toxic. The company has produced 15 million devices using the foam since 2009 but some are not in use. (11/14)

North Carolina Health News: Rural NC Hospital Opens More Psychiatric Beds To Meet Rising Mental Health Need 
The 10 behavioral health beds at Cannon Memorial Hospital near the western edge of the state are almost always full. Meanwhile, more patients struggling with mental health issues end up waiting in the hospital’s emergency department to be admitted or sent somewhere else for psychiatric care. The small psychiatric unit at the Avery County hospital has received more than 5,000 patient referrals from across the state each year, but could only admit about 11 percent of those patients. This is not an uncommon story, as emergency departments across North Carolina and the country have become increasingly filled with behavioral health patients seeking help. (Knopf, 11/15)

Georgia Health News: Lawmakers Reach Across Aisle, Call 2022 ‘The Year Of Mental Health’ 
Bipartisan momentum for action on mental health in the wake of the pandemic appears to be building ahead of next year’s legislative session. A group of lawmakers from both sides of the aisle and both chambers gathered this week at the state Capitol for a press conference, with several declaring 2022 to be “the year of mental health” in a state that is now near the bottom in a ranking based on mental health care access. Georgia now ranks 48th in the Mental Health America ranking, which is a slight improvement from last year when the state was in last place. (Nolin, 11/12)

In covid news across the states —

Los Angeles Times: Recovered From COVID-19, Garcetti To Return To L.A. On Tuesday
Los Angeles Mayor Eric Garcetti, recovered from a bout of COVID-19, landed Sunday in Washington, D.C., where he plans to join President Biden at a signing ceremony for the administration’s infrastructure bill before returning to Los Angeles on Tuesday, a mayoral spokesman said. Garcetti, who is fully vaccinated, had been in Glasgow, Scotland, attending the U.N. Climate Change Conference, when he tested positive for a breakthrough infection. Garcetti had a fever and symptoms of a head cold and isolated in a Glasgow hotel room, he told his staff. (Blume, 11/13)

AP: Last 3 Florida School Districts Drop Student Mask Mandates
The last three school districts in Florida that required at least some students to wear masks are dropping their mandates for student facial coverings. Starting Friday, grade school students in Miami-Dade schools can opt out of wearing a mask if they have their parents' permission. Masks already had been optional for high school and some middle school students. (11/12)

Atlanta Journal-Constitution: Long-Haulers: Georgia Patients With Lasting COVID Symptoms Fight For Benefits
Koie Smith rarely found himself at a loss for words. After more than two decades in the information technology field, the 40-year-old Marietta resident had climbed the ranks to become the chief technologist of a construction company, where he charted out strategy, oversaw a team and spoke in front of hundreds of people at events. (Hallerman, 11/12)

Houston Chronicle: Houston Methodist Suspends River Oaks Doctor For Spreading COVID Misinformation
Houston Methodist Hospital on Friday temporarily suspended a doctor on its staff who is spreading false information about COVID-19 to her patients and on social media. Dr. Mary Talley Bowden, an ear, nose and throat specialist who runs a private practice in River Oaks, was granted provisional privileges to practice at the hospital within the last year, according to a Methodist spokesperson. Bowden had never admitted a patient before Friday, when the hospital pulled those privileges for further investigation, the spokesperson said. (Gill, 11/12)

Also —

KHN: Live Performers Find Red State Rules A Tough Act To Follow
There was something a little different on stage at a recent performance of the musical “Sister Amnesia’s Country Western Nunsense Jamboree,” the first production for the Missoula Community Theatre since the beginning of the pandemic. All the actors wore clear face masks. That way, the audience could better see the actors’ expressions, which is “a pretty big deal in live theater,” said Jess Heuermann, who played Sister Mary Wilhelm in the show. (Alpert, 11/15)

The New York Times: Brazil Surpasses The U.S. In Getting People Fully Vaccinated
Once a pandemic hot spot, Brazil has edged past the United States in fully vaccinating its people against the coronavirus, with over 60 percent of the Brazilian population fully immunized. The U.S. rate for full vaccination stands at 59 percent. The achievement contrasts with Brazil’s much derided handling of the pandemic under President Jair Bolsonaro, who refused to get vaccinated himself. It also reflects the extent of the public’s trust in a robust health care system with a track record of responding quickly to such crises. (Andreoni, 11/14)

In news from Europe —

Bloomberg: Who Can Get Covid Booster Vaccine In U.K.? People In 40s Now Eligible
The U.K. is expanding its Covid-19 booster program to younger people as the country seeks to head off another wave of infections this winter. A third vaccine dose will be available to people aged 40 to 49 starting six months after their second shot, the government said Monday. Previously, only those over 50 and other vulnerable groups were eligible. So far, more than 12 million people have received a third inoculation. (Hipwell, 11/15)

CBS News: Portugal, The Little Country That Could … Get Vaccinated
From an overlook in Lisbon, with the sun peeking through, things look pretty good. Having weathered the storm of COVID, at least for now, Portugal is emerging as a shining example: one of the most vaccinated countries on Earth, with roughly 98 percent of those eligible here having been vaccinated, compared to about 62 percent in the U.S. Trams are again packed; so are restaurants. (11/14)

The New York Times: Austria’s New Lockdown Will Confine The Unvaccinated To Their Homes
Austria will confine unvaccinated adults and minors over age 11 to their homes as part of a targeted lockdown, lawmakers announced Sunday. The move, which is aimed at calming the worst surge in infections the country has faced since the pandemic started, is believed to be one of the first national lockdowns directed at the unvaccinated. “We do not take this step lightly,” Chancellor Alexander Schallenberg said at a news conference on Sunday. Starting Monday, those who cannot prove that they are either fully vaccinated or immune from a past infection can only leave their dwellings for essential reasons, such as going to the doctor or for essential grocery shopping. (Schuetze, 11/14)

Axios: COVID: Austria Imposes Lockdown For Unvaccinated, Latest Nation To Announce Restrictions 
Public officials around the world are imposing new restrictions on the unvaccinated as many nations struggle to raise their COVID-19 vaccination rates. Unvaccinated people are five times more likely than those vaccinated to get infected and 10 times more likely to die from the coronavirus, per the Centers for Disease Control and Prevention. Many health care systems are buckling under new waves in cases among the unvaccinated. (Chen, 11/15)

Reuters: German Coronavirus Infections Hit New High, Tighter Measures Planned
Germany's coronavirus infection rate has risen to its highest level since the start of the pandemic, public health figures showed on Monday, as the three parties in talks to form a new government plan an expansion of measures to tackle the pandemic. The seven-day incidence rate - the number of people per 100,000 to be infected over the last week - rose to 303 from 289 the previous day, figures from the Robert Koch Institute showed on Monday. (11/15)

AP: As Virus Surges In Eastern Europe, Leaders Slow To Act - ABC News
At the main hospital in Romania's capital, the morgue ran out of space for the dead in recent days, and doctors in Bulgaria have suspended routine surgeries so they can tend to a surge in COVID-19 patients. In the Serbian capital, the graveyard now operates an extra day during the week in order to bury all the bodies arriving. For two months now, a stubborn wave of virus infections has ripped mercilessly through several countries in Central and Eastern Europe, where vaccination rates are much lower than elsewhere on the continent. While medical workers pleaded for tough restrictions or even lockdowns, leaders let the virus rage unimpeded for weeks. (Stojanovic and Gec, 11/14)

Elsewhere around the globe —

Bloomberg: Israel To Give Pfizer Vaccine To Children Once Doses Arrive
Israel plans to begin giving the Pfizer-BioNTech Covid vaccine to children aged 5 to 11 as soon as possible, after becoming the latest country to approve the inoculations. The Health Ministry expects the first shipments of the children’s vaccine -- which is weaker than the regular dose -- to arrive from the U.S. in the coming days, according to a spokesperson. A panel of experts at the ministry voted overwhelmingly in favor of the inoculation campaign last week. (Avis, 11/15)

AP: New Outbreak Prompts China To Lock Down University Campus
China has confined nearly 1,500 university students to their dormitories and hotels following an outbreak of COVID-19 in the northeastern city of Dalian. The order was issued Sunday after several dozen cases were reported at Zhuanghe University City and hundreds of students were transferred to hotels for observation. (11/15)

AP: India Opens To Vaccinated Foreign Tourists After 18 Months
India began allowing fully vaccinated foreign tourists to enter the country on regular commercial flights on Monday, in the latest easing of coronavirus restrictions as infections fall and vaccinations rise. Tourists entering India must be fully vaccinated, follow all COVID-19 protocols and test negative for the virus within 72 hours of their flight, according to the health ministry. Many will also need to undergo a post-arrival COVID-19 test at the airport. (11/15)

On the global rise in diabetes —

CNN: Cases Of Diabetes Are Skyrocketing Around The World, And Experts Fear Covid-19 May Make It Worse 
The year 2021 marks 100 years since the discovery of insulin, a game-changing drug in the fight against diabetes. Despite a century of advancements in treatment, education and prevention, World Diabetes Day 2021 occurs in the wake of grim statistics. One in 10 adults around the world -- some 537 million people -- are currently living with diabetes, according to figures recently released by the International Diabetes Federation (IDF). By 2024, the IDF predicted that the number of people with diabetes is expected to rise to 1 in 8 adults. (LaMotte, 11/14)

The Boston Globe: Mental Health Access Should Top Post-Pandemic Priorities 
Stepping up the state’s game on mental health care — making it more accessible and affordable — was always a priority for Senate President Karen Spilka. And so it was no surprise when, back in February 2020, senators gave unanimous approval to a sweeping mental health parity bill. It was a good bill at the time, and a much-needed one. (11/14)

The Star Tribune: Booster Shot, Please? Ready, Waiting … 
It was an exercise in frustration last week as an editorial writer tried to track down when guidance is coming for those who received Pfizer or Moderna COVID-19 shots months ago and are still waiting for the green light for a booster. Answers are needed soon from federal health authorities. Minnesota and other states are in the midst of another COVID surge, a troubling place to be as winter weather drives us inside and holidays loom, creating conditions ideal for viral spread. (11/13)

Stat: Why My Kids Took Part In The Pfizer Vaccine Trials 
Cue the collective sigh of relief from many parents across the country. While the Pfizer-BioNTech Covid-19 vaccine has been available for children ages 12 and up since mid-September, as of now 28 million even younger school-age children between the ages of 5 and 11 are eligible to receive it. As an emergency medicine physician and a parent, that reassures me. As a member of the global community, it gives me hope we’ll soon return to some level of normalcy. (Shaun Carstairs, 11/15)

Houston Chronicle: I'm 10 And Was In A COVID Vaccine Trial. I Do My Duty To Help Keep Others Safe
I am a 10-year-old who volunteered for the Pfizer COVID vaccine trial. I want to tell you why I did it and how it felt. I really wanted to participate in the trial because I knew that getting vaccinated was key to keeping myself safe and helping all of us get out of the pandemic. (Kartik Dimino, 11/14)

Dallas Morning News: Stop Shaming Matthew McConaughey
It’s imperative that we vaccinate the youngest Americans so that school and other aspects of their lives and everyone’s lives can go back to normal. Yet even well-meaning parents will need convincing. Instead of busting out the pitchforks, our country needs to do more soul-searching on how to better persuade families about the benefits of the shots. (11/13)

The Star Tribune: Origin Tracing Of COVID-19 Should Not Be Politicized 
As the COVID-19 pandemic continues to ravage the world, the fight against the virus remains the most pressing task for us all. Virus knows no borders. Only when countries pull together and fight by science's rules can we defeat the pandemic. Origin tracing of COVID-19 is of great importance to effective prevention and control of the pandemic. It is a serious scientific subject about which scientific conclusions should and can only be made by scientists based on facts and rigorous analyses. (Zhao Jian, 11/14)

The New York Times: When The Next Thing You Know Is That You Have Covid 
Bret Stephens: Hello from Covid quarantine, Gail, breakthrough-case edition. It’s been six months since my second shot of Moderna, and — presto! — I got it. Gail Collins: Bret! I’m so sorry you’re sick. Or sickish? Do you think the vaccine protected you from really serious illness? Basically want to know how this affects your thoughts on the vax debate. (Gail Collins and Bret Stephen, 11/15)

Chicago Tribune: Cover Hearing Aids, Not A Questionable Alzheimer’s Drug 
The FDA recently made two important decisions — one bad, one good — that will affect people with cognitive decline. The approval of Aduhelm (aducanumab), an expensive and controversial treatment for Alzheimer’s disease, has been roundly and deservedly criticized, and the manufacturer’s close relationship with the FDA questioned. The approval of the sale of over-the-counter hearing aids, on the other hand, should be applauded by anyone who cares about dementia and cognitive decline. (Adriane Fugh-Berman and David Stanke, 11/15)

Modern Healthcare: Health Networks Join The Front Lines To Stem Community Violence 
Health networks are now joining the front lines to help end the cycle of violence, offering an array of support starting at the bedside in emergency rooms. The goal is to help victims choose a healthier path. As the CEO of New Jersey's largest health network and the board chair of the Brady Campaign, we support this effort to address this public health crisis at the root. (Robert C. Garrett and Kevin A. Quinn, 11/12)

The Boston Globe: Bringing Local Public Health Boards Into The 21st Century 
How inefficient is local government in Massachusetts? Every municipality in the Commonwealth, no matter how small, has its very own public health board, charged with responsibilities varying from testing well water to responding to hoarding incidents — oh, and also managing global pandemics. COVID-19 exposed just how uneven those local authorities are. Boston and Cambridge operate whole city departments staffed with experts capable of handling a wide variety of tasks, from operating homeless shelters to responding to outbreaks of mosquito-borne diseases to organizing vaccination drives in a worldwide pandemic. (11/13)

Stat: It's Time For Individuals To Own Their Health Data 
Health data should be like a mountain stream, flowing in a single direction with a clear purpose: improving health and medical outcomes. Instead, it’s a complex puzzle that only data scientists and physicians can meaningfully put together and use. When most people think of personal health data, they think about their medical records. These reside — usually unconnected — in the offices of primary care physicians and specialists, in imaging companies, hospitals, and elsewhere. These records contain information such as vital signs, prescriptions and allergies, illnesses and injuries, physicians’ notes, and more. (Juhan Sonin, Annie Lakey Becker and Kim Nipp, 11/15)

The Atlantic: Whether Patients Understand Is Beside The Point
Last week, during a White House press briefing on COVID-19, CDC Director Rochelle Walensky urged Americans to get jabs for their kids. “We know that vaccination helps to decrease community transmission,” she said, “and protect those who are most vulnerable. ”Her message was succinct, accurate, and easy to understand. But it was at odds with new guidance from the American Medical Association and the Association of American Medical Colleges. In a document called Advancing Health Equity: A Guide to Language, Narrative and Concepts, the AMA and AAMC urge physicians and other health-care workers to replace many “commonly used” words, such as vulnerable, with “equity-focused” alternatives, such as oppressed. (Conor Friedersdorf, 11/13)

The Star Tribune: A New Health Care Oasis In Minneapolis 
A venerable community clinic is opening a new health care oasis in a Minneapolis neighborhood designated as a federal "medically underserved area." That's a milestone worth celebrating, especially given that construction on the spacious new building and the fundraising for it has continued apace during a pandemic. Family Tree Clinic has long been a medical mainstay in St. Paul, serving those who may have difficulty paying for medical care or face other barriers accessing it. It is relocating this month to a new home in Minneapolis. Its modern two-story facility at 1919 Nicollet Ave. will open on Nov. 22. (11/14)

Newsweek: Reconciling With Reconciliation Over Drug Pricing 
I am taking a break from writing about the health of our democracy to write about the state of our public health—specifically the issue of the cost of prescription drugs for the elderly. One of the key provisions of the original Biden Build Back Better proposal was that Medicare would finally be authorized to negotiate directly with pharmaceutical companies for the price of prescription drugs. It was knocked out of the Biden compromise framework the president outlined to Congress a couple of weeks ago. It appears now that that provision is back in though based on a further compromise worked out among Democratic factions on Capitol Hill. Yet, what will be in or out of the final bill is still unknown as it sits in the House, where a vote may occur before Thanksgiving with a less certain path in the Senate. (Tom Rogers, 11/15)