- KFF Health News Original Stories 3
- ‘A Bottomless Pit’: How Out-of-Pocket TMJ Costs Drive Patients Into Debt
- Finland Is Offering Farmworkers Bird Flu Shots. Some Experts Say the US Should, Too.
- Colorado Dropped Medicaid Enrollees as Red States Have, Alarming Advocates for the Poor
- Political Cartoon: 'Poutine Checkup?'
From KFF Health News - Latest Stories:
KFF Health News Original Stories
‘A Bottomless Pit’: How Out-of-Pocket TMJ Costs Drive Patients Into Debt
Millions of Americans suffer from temporomandibular joint, or TMJ, disorders. The high cost and poor insurance coverage of TMJ care can bury patients in debt even as the treatments do more harm than good. (Brett Kelman and Anna Werner, CBS News, )
Finland Is Offering Farmworkers Bird Flu Shots. Some Experts Say the US Should, Too.
Even with a stockpile of bird flu vaccinations, the federal government is not offering them to those at high risk. Along with testing and measures to prevent spread, vaccinations may protect people and stop the outbreak from becoming a pandemic. (Amy Maxmen and Arthur Allen, )
Colorado Dropped Medicaid Enrollees as Red States Have, Alarming Advocates for the Poor
Colorado defended its high disenrollment rates following the covid crisis by saying that what goes up must come down. Advocates and researchers disagree. (Rae Ellen Bichell, )
Political Cartoon: 'Poutine Checkup?'
KFF Health News provides a fresh take on health policy developments with "Political Cartoon: 'Poutine Checkup?'" by Wayno & Piraro.
Here's today's health policy haiku:
SCOTUS TORCHES SO MUCH MORE
Overreach – no reach.
Women's bodies – ignore laws.
No rights – no justice.
- Penny Walker Bos
If you have a health policy haiku to share, please Contact Us and let us know if we can include your name. Haikus follow the format of 5-7-5 syllables. We give extra brownie points if you link back to an original story.
Opinions expressed in haikus and cartoons are solely the author's and do not reflect the opinions of KFF Health News or KFF.
Summaries Of The News:
Feds Plan To Sue CVS, UnitedHealth, Cigna Over Drug Rebates: Source
A person familiar with the investigation who asked not to be named said the complaint is still being drafted but could be filed this month, the Los Angeles Times reported. In other pharmaceutical news: the price of Ozempic, updates on the Abbott trial, tanning pills, and more.
Los Angeles Times:
FTC Preparing Suit Against Drug Middlemen Over Insulin Rebates
The Federal Trade Commission is preparing a lawsuit against the three largest drug intermediaries over their use of rebates for insulin and other drugs, according to a person familiar with the probe. The agency has been investigating whether the rebate practices of insulin manufacturers and three pharmacy benefit managers — units of CVS Health Corp., Cigna Group and UnitedHealth Group Inc. — violate federal law, said the person, who asked not to be named discussing an ongoing probe. (Nylen and Tozzi, 7/10)
Reuters:
US Senator Sanders Optimistic Novo Nordisk Can Be Pressured To Cut Wegovy, Ozempic Prices
Senator Bernie Sanders on Wednesday expressed confidence that Novo Nordisk can be convinced to cut the U.S. prices of its popular Ozempic and Wegovy drugs used for weight loss by publicly shaming the company over how much it charges compared with prices in other countries. Novo Nordisk CEO Lars Jorgensen is set to testify before the Senate Committee on Health, Education, Labor and Pensions (HELP), which Sanders chairs, in a September hearing focusing on U.S. prices for Ozempic and Wegovy. (Aboulenein, 7/10)
In other pharmaceutical news —
Bloomberg:
Abbott Accused At Trial Of Hiding Fatal Risk Of Infant Formula
Abbott Laboratories hid the risks of its premature-infant formula causing a potentially fatal bowel disease from parents even though company officials acknowledged the peril in internal documents, a lawyer told a Missouri jury. The company was accused of putting profits over safety by an attorney for the mother of a premature baby girl who developed necrotizing enterocolitis, or NEC, and suffered brain damage after being fed Abbott’s Similac Special Care 24, a cow’s milk-based formula. (Feeley, 7/10)
The Star Tribune:
Most Patients Quit GLP-1 Drugs In Two Years, Jeopardizing Their Weight Loss
Four in five people taking GLP-1 medications for weight loss quit them in two years, even though the drugs are supposed to be taken much longer to maintain their benefits, according to a new report by Eagan-based Prime Therapeutics. Wednesday's report is disappointing because many people regain all their weight after discontinuing the injectable drugs such as Wegovy and put themselves back at risk for costly chronic diseases, said Pat Gleason, an associate vice president for health outcomes at Prime, which manages pharmacy benefits for Blue Cross insurance plans nationwide. (Olson, 7/10)
Fox News:
What Are Tanning Pills? Dermatologists Warn That Bronzing Your Skin Orally Is 'Not Safe'
Some people are trading UV rays for tanning pills, as numerous social media influencers have raved about how these supplements have given their skin a tan glow. But are they safe? These pills contain a variety of ingredients – including L-tyrosine, beta-carotene and astaxanthin – that could potentially have a color-changing effect on the skin. Doctors are warning that this alternative means of bronzing the skin can come with risks. (Stabile, 7/10)
Medicare Physician Payments May Fall 2.9% In 2025
A proposed CMS rule would see doctors taking a 2.9% Medicare pay cut next year. The AMA and other medical societies have sharply criticized the suggestion. Meanwhile, CMS also proposed to raise outpatient hospitals reimbursements 2.6% next year.
Modern Healthcare:
Doctors Hit With Proposed 2.9% Medicare Pay Cut For 2025
Medicare physician payments would decline 2.9% in 2025 under a proposed rule the Centers for Medicare and Medicaid Services published Wednesday. The draft regulation provoked sharp criticism from the American Medical Association and other medical societies, which renewed their calls for Congress to come to their aid. The proposed rule also includes significant policies related to the Medicare Shared Savings Program and telehealth reimbursement. (Early, 7/10)
Modern Healthcare:
Outpatient Hospitals May Get 2.6% Medicare Pay Bump In 2025
Hospital outpatient departments and ambulatory surgical centers would receive 2.6% reimbursement hikes next year under a proposed rule the Centers for Medicare and Medicaid Services issued Wednesday. The draft regulation also includes a slew of maternal health and health equity provisions hospitals that participate in Medicare would be required to follow to receive the full pay hike, including policies on treatment and transfer protocols for pregnant patients. (Early, 7/10)
Modern Healthcare:
Medicare Advantage Marketing Ruling Leaves 2025 Enrollment In Flux
A legal victory for Medicare Advantage insurers and marketers ironically may cause some headaches when open enrollment for 2025 rolls around. Last week, the U.S. District Court for the Northern District of Texas ordered a stay against the final rule the Centers for Medicare and Medicaid Services published in April that prohibits insurers from offering volume-based bonuses to top Medicare Advantage marketers, thereby suspending the regulation's cap on broker fees. (Tepper, 7/10)
Stat:
Biden Administration Ignores Calls To Bolster Hospital Price Transparency
The federal government will not modify regulations that dictate how hospitals publish their prices for consumers, ignoring pleas from patient advocates who have said hospitals still are not fully complying with the 3-year-old law. The Biden administration on Wednesday proposed an annual rule that sets payment rates for hospitals. This document is where the government has in the past rolled out changes to the so-called hospital price transparency rule, but the Biden administration did not address the issue in this edition. (Herman, 7/10)
More on the high cost of health care —
KFF Health News:
‘A Bottomless Pit’: How Out-Of-Pocket TMJ Costs Drive Patients Into Debt
Over three decades of relentless pain, Jonna Tallant has tried about every TMJ treatment: mouthguards, six sets of braces, dental crowns and appliances, drugs, physical therapy, Botox, massage, acupuncture, chiropractic care, and surgery. Nothing has helped. Tallant, 51, of Knoxville, Tennessee, said she lives in agony and cannot eat any food that must be chewed. Despite spending a small fortune on treatment, she can barely open her mouth enough to squeeze in a toothbrush. (Kelman and Werner, 7/11)
Medicaid Coverage For Unhealthy 'Medically Tailored' Meals Questioned
A report in Stat says that some "dietitian-approved" meals that are being delivered to homes of seriously ill people are actually salty and packed with fat, throwing their "medically tailored" label into sharp contrast. Meanwhile, Medicaid taxes on hospitals are helping cover state budgets.
Stat:
Medicaid Is Paying Millions For Salty, Fat-Laden ‘Medically Tailored’ Cheeseburgers And Sandwiches
They’re marketed as healthy, “dietitian-approved” meals and delivered directly to the homes of people seriously ill from cancer, diabetes, or heart disease: a Jimmy Dean frozen sausage breakfast sandwich, biscuits and gravy, a cheeseburger. These are among the offerings sold by an Idaho-based company, Homestyle Direct, which is paid millions of dollars each year by taxpayer-funded state Medicaid programs to deliver what the company calls medically tailored meals. The company, which advertises delivering 7.8 million meals annually, has menus catering to customers trying to manage their cancer and diabetes, as well as “heart healthy” and “renal friendly” dishes. (Florko, 7/11)
Modern Healthcare:
Medicaid Taxes On Hospitals Increase To Help States Cover Budgets
Hospitals are volunteering, sometimes begrudgingly, to pay bigger taxes to help states close Medicaid budget gaps. When fiscal 2025 began in most states July 1, health systems in Delaware, Idaho, Kansas, Maine, Missouri, Nebraska, New Mexico and elsewhere are on the hook for higher taxes in exchange for Medicaid reimbursement increases or coverage expansions. (Tepper, 7/10)
KFF Health News:
Colorado Dropped Medicaid Enrollees As Red States Have, Alarming Advocates For The Poor
Colorado stands out among the 10 states that have disenrolled the highest share of Medicaid beneficiaries since the U.S. government lifted a pandemic-era restriction on removing people from the health insurance program. It’s the only blue state in a cluster of red states with high disenrollment rates — a group that includes Idaho, Montana, Texas, and Utah — in the Medicaid “unwinding” underway since spring 2023. (Bichell, 7/11)
The Star Tribune:
Minnesota Autism Providers Under Investigation, Lawmakers Eye ‘Guardrails’
Investigators are examining potential Medicaid fraud among Minnesota autism services, and state lawmakers say they will consider licensing the providers, whose numbers have increased dramatically across the state. The Minnesota Department of Human Services has 15 active investigations into organizations or individuals providing certain autism services and has closed 10 other cases, the agency told the Star Tribune. The investigations were first reported by the the Reformer, which wrote last month that the FBI is looking into fraud by autism service providers. (Berkel, 7/10)
In other health news from across the U.S. —
The Boston Globe:
Fatal Overdoses Drop In Rhode Island For The First Time In Five Years
Coming off some of the deadliest years on record for drug overdoses in the state, Rhode Island finally saw its first decline in fatalities in five years, according to data released by the state Department of Health Wednesday morning. Fentanyl and other opioids are continuing to drive these fatalities, totaling about 85 percent of all fatal overdoses in Rhode Island in 2023. (Gagosz, 7/10)
The Washington Post:
Some Massachusetts Towns Are Trying To Say Goodbye To Tobacco — Forever
The idea was ingenious, Richard Lopez thought: a slow but relentless way to phase out tobacco for good. Lopez chairs the board of health in Reading, Mass., a town of 25,000 north of Boston. Last month, the board adopted a regulation to create what advocates call a “nicotine-free generation. ”Anyone born in 2004 or later will not be allowed to buy cigarettes or nicotine products in Reading when they turn 21, the legal age to purchase. (Slater, 7/10)
Los Angeles Times:
How California Local Governments Are Using Opioid Settlement Payouts
Sonja Verdugo lost her husband to an opioid overdose last year. She regularly delivers medical supplies to people using drugs who are living — and dying — on the streets of Los Angeles. And she advocates at Los Angeles City Hall for policies to address addiction and homelessness. Yet Verdugo didn’t know that hundreds of millions of dollars annually are flowing to California communities to combat the opioid crisis, a payout that began in 2022 and continues through 2038. (Pattani and Thompson, 7/11)
Arkansas Secretary Of State Denies Attempt To Put Abortion On The Ballot
In a letter to a group hoping to amend the state Constitution to allow the procedure up to 18 weeks of pregnancy, the state said the "petition is insufficient on its face for failure to obtain the required 90,704 signatures." Arizona, Florida, and the U.S. Senate also are in the news.
The Hill:
Arkansas Abortion Rights Ballot Initiative Rejected By Secretary Of State
The Arkansas secretary of state on Wednesday rejected an effort for an abortion-rights ballot measure that would ensure access to the procedure up to 18 weeks in the state. In a letter to Arkansas for Limited Government — the group behind the effort — Secretary of State John Thurston said the group did not submit the required statements about paid signature gatherers. The group, in a statement Wednesday, said it was “alarmed and outraged” by Thurston’s letter. The group said it worked with the secretary of state’s office to ensure all rules and regulations were followed. (Nazzaro, 7/10)
Reuters:
Backers Of Arizona Abortion Rights Amendment Sue Over Language In Voter Pamphlet
Supporters of a ballot measure that would amend Arizona's constitution to establish a right to abortion sued Republican lawmakers on Wednesday over language in a pamphlet to be distributed to voters before they go to the polls in November, saying the document's use of the phrase "unborn human" is not neutral. Arizona for Abortion Access, the group behind the ballot measure, in its lawsuit asked the Maricopa County Superior Court for an order requiring the Arizona Legislative Council, a committee of lawmakers overseeing the pamphlet, to adopt "impartial" language. The group said "fetus" would be "a neutral, objective, and medically accurate term uniformly used by medical professionals and government agencies." (Pierson, 7/10)
USA Today Network:
DeSantis Tries To Sow Doubt About Abortion, Marijuana Measures
With polls showing ballot measures restoring abortion rights in Florida and legalizing recreational marijuana supported by most voters, Gov. Ron DeSantis is facing an uphill fight in his campaign to defeat them this fall. The Republican governor has just a trickle of the torrent of money he’s looking to raise for his Florida Freedom Fund, a political committee he intends to weaponize against the proposals, which defy the hard right direction in which he’s moved the state. But until more money arrives, DeSantis is mostly on his own. (Kennedy, 7/10)
The New Republic:
Why Abortion Bans Keep Getting Passed, Even Though They’re Unpopular
With states now firmly in control of laws determining abortion access, the last several years have seen a rash of increasingly restrictive state-level policies. While the Supreme Court preserved women’s access to the abortion pill earlier this month, its decision was a narrow one; lawmakers in red states will continue attempts to ban mifepristone or seek to restrict abortion access in other ways. The Supreme Court’s ruling on emergency abortions in Idaho due to dire pregnancy complications may likewise offer only a temporary reprieve: the Supreme Court merely lifted a stay that had blocked the policy in wake of Idaho’s strict ban on virtually all abortions and remanded the case back to the lower courts. (Deckman, 7/11)
Also —
NBC News:
Senate Republicans Block Democratic Bill Codifying Roe V. Wade Abortion Protections
Senate Republicans on Wednesday blocked legislation led by Democrats to revive the protections of Roe v. Wade in the wake of the Supreme Court eliminating the nationwide right to abortion. The vote was 49-44, falling short of the super-majority needed to defeat a filibuster due to broad opposition from Republicans, who dismissed it as a political stunt. (Kapur and Thorp V, 7/10)
AP:
Bill Would Ban Sale Of Reproductive And Gender Affirming Care Locations Gathered From Cellphones
The Massachusetts House unanimously approved legislation Wednesday that would ban companies from selling cellphone location data collected during visits to reproductive and gender-affirming care clinics. Democratic House Speaker Ronald Mariano said the goal is to ensure that the right to receive and provide that type of care remains ironclad in Massachusetts. (LeBlanc, 7/10)
Axios:
Biden Plan Requires Hospitals To Improve Maternal Care
The Biden administration on Wednesday rolled out its latest election-year initiative on women's health, proposing standards that would require the hospital industry to invest billions in maternity care improvements to remain in Medicare. Why it matters: Maternal health has proven to be a winning issue for Democrats as restrictive abortion laws and insufficient care draw attention to poor access and outcomes. (Goldman, 7/11)
GAO Says FEMA Needs To ID Lessons Learned From Covid Pandemic
CIDRAP looks at a new report from the Government Accountability Office (GAO), which assessed how FEMA estimated spending from January 2020 to March 2024. Also in the news: Michigan's bird flu response; H5N1 in five more dairy herds and three more cats; and more.
CIDRAP:
GAO Report Critical Of FEMA's Handling Of Pandemic
A new report from the Government Accountability Office (GAO) said the Federal Emergency Management Agency (FEMA) has yet to identify lessons learned from the COVID-19 pandemic. The report examined the status of obligations and expenditures related to COVID-19 and how FEMA estimated spending from January 2020 to March 2024. For fiscal years 2020 through 2024, Congress passed both annual and supplemental appropriations for the Disaster Relief Fund (DRF) totaling $97 billion, the GAO said. (Soucheray, 7/10)
Reuters:
Former CEO Of SCWorx Corp Convicted Of Securities Fraud Over COVID Tests
The former CEO of healthcare software company SCWorx Corp was found guilty of investor fraud for falsely stating the company was becoming a major supplier of COVID-19 rapid tests early in the pandemic, the U.S. Justice Department said on Wednesday. The Justice Department said in a statement that a federal jury in New Jersey convicted Marc Schessel, 64, of two counts of securities fraud for public statements by SCWorx in April 2020, early in the pandemic, claiming that it was buying and reselling at least 48 million COVID-19 test kits, despite knowing that the statements were false. SCWorx said it had a binding contract to acquire the rapid COVID test kits from an Australian supplier. (Singh, 7/10)
On bird flu —
Reuters:
Bird Flu Response In Michigan Sparks COVID-Era Worry On Farms
Some dairy farmers are resisting Michigan's nation-leading efforts to stop the spread of bird flu for fear their incomes will suffer from added costs and hurt rural America. The government's restrictions, which include tracking who comes and goes from farms, are rekindling unwanted memories of COVID-19 in Martin and other small towns in central Michigan. (Polansek, Huffstutter and Douglas, 7/11)
CIDRAP:
H5N1 Confirmed In 5 More US Dairy Herds, More Cats
The US Department of Agriculture (USDA) Animal and Plant Health Inspection Service (APHIS) today added five more dairy herds in three states to its list of H5N1 avian flu outbreak confirmations. Also, APHIS confirmed the virus in three more cats from two states, both of which are experiencing H5N1 outbreak in dairy cows and poultry. (Schnirring, 7/10)
KFF Health News:
Finland Is Offering Farmworkers Bird Flu Shots. Some Experts Say The US Should, Too
As bird flu spreads among dairy cattle in the U.S., veterinarians and researchers have taken note of Finland’s move to vaccinate farmworkers at risk of infection. They wonder why their government doesn’t do the same. “Farmworkers, veterinarians, and producers are handling large volumes of milk that can contain high levels of bird flu virus,” said Kay Russo, a livestock and poultry veterinarian in Fort Collins, Colorado. “If a vaccine seems to provide some immunity, I think it should be offered to them.” (Maxmen and Allen, 7/11)
In related news about unpasteurized milk —
CIDRAP:
Salmonella Outbreak Tied To Raw Milk Products From Often-Implicated Firm May Have Sickened 165
A four-state Salmonella outbreak linked to raw (unpasteurized) milk products has infected at least 165 people—many of them children—from fall 2023 to June 2024, Food Safety News (FSN) reported today based on data it obtained from the California Division of Communicable Disease Control (CDCDC) and the California Department of Health. The median age of patients is 7 years. (Van Beusekom, 7/10)
Navy Experiencing Uptick In Suicides As Sailors Report Increasing Stress
The military branch has lost 24 of its own to suicide in just the first quarter of this year, Pentagon data show. Other military news is on retirement and disability benefits, death benefits for family members of ROTC cadets, and a mother's plea.
Military.com:
Navy Had Record High Suicides So Far This Year Amid Reports Of High Stress, Quality-Of-Life Issues
The Navy reported a record number of suicides in the first quarter of 2024, again drawing attention to the myriad issues revealed about the quality of life for sailors and the service's ability to prevent such deaths. According to recently released Pentagon data on suicide across all the services, the Navy reported 24 suicides among its sailors for the first three months of 2024. That is the highest-ever quarterly figure for the service going back to 2018, when data first started being released. (Toropin, 7/10)
If you need help —
Dial 988 for 24/7 support from the Suicide & Crisis Lifeline. It's free and confidential.
Military.com:
Disabled Veterans To Congress: Move Out On Stalled Bill To Allow Payment Of Both Retirement And Disability Benefits
Veterans with combat-related injuries rallied near the U.S. Capitol on Wednesday to urge lawmakers to finally act on a long-stalled proposal to allow all veterans full access to military retirement pay and Department of Veterans Affairs disability benefits. Despite wide bipartisan backing, the Major Richard Star Act has languished for years, increasingly frustrating the veterans who are losing thousands of dollars in benefits that could help them support themselves and their families. (Kheel, 7/10)
Military Times:
Bill Would Expand Military Death Benefits For Families Of ROTC Cadets
Parents of young officers in training and incoming recruits who died in connection with military activities want Congress to approve death benefits that others in the armed forces already receive. “It’s just been an absolute nightmare. There’s no aspect of our lives that are the same,” said Jessica Swan. Swan’s daughter, Mackenzie Wilson, 19, a student at Oregon State University and an Air Force Reserve Officer Training Corps cadet, died in a vehicle accident in June 2022, while at an Air Force base in Idaho for a development program. (Lehrfeld, 7/10)
The Fayetteville Observer:
Mother Hopes Army Policy Will Prevent Deaths Like Her Son’s
The mother of a then-Fort Bragg soldier found dead in his barracks room in January 2020 hopes service members will check on each other to prevent future deaths like her son’s. Pvt. 2nd Class Caleb Smither’s mother, Heather Baker, spoke to The Fayetteville Observer last June about her visit to Washington, D.C., to make members of Congress and Army leaders aware of her son’s death and make changes so missteps don’t happen again. Smither, 19, was found dead in his room at Fort Bragg, now known as Fort Liberty, on Jan. 22, 2020, seven weeks after being assigned to the 82nd Airborne Division and five days after he was given an order to rest after striking his head in the motor pool earlier in the month. Months after his death, doctors concluded that Smither’s cause of death was bacterial meningitis. ((Riley, 7/10)
Officials Propose Rule To Improve Health IT, Software Interoperability
The new rule from the Office of the National Coordinator for Health Information Technology is designed to improve interoperability between payers, public health bodies, and providers via a voluntary certification system. Also in the news: Doctors use AI chatbots to battle insurance denials.
Modern Healthcare:
ONC Rule To Establish Voluntary Health IT Software Certifications
The Office of the National Coordinator for Health Information Technology introduced a proposed rule on Wednesday to improve interoperability between payers, public health organizations and providers. ONC's proposed rule would establish voluntary certifications for health IT software tools used by public health organizations and payers. The proposed rule implements provisions of the 21st Century Cures Act, which was signed into law in December 2016 by President Obama. (Turner, 7/10)
The New York Times:
Doctors Use A.I. Chatbots To Help Fight Insurance Denials
At his rehabilitation medicine practice in Illinois, Dr. Azlan Tariq typically spent seven hours a week fighting with insurance companies reluctant to pay for his patients’ treatments. He often lost. There was the 45-year-old man who spent five months in a wheelchair while his insurer denied appeal after appeal for a prosthetic leg. Or the stroke survivor who was rehospitalized following a fall after his insurer determined his rehab “could be done at home.” (Rosenbluth, 7/10)
More health industry updates —
Modern Healthcare:
Steward Health Care Indefinitely Delays Some Hospital Sales
Steward Health Care indefinitely delayed the sale proceedings for some of its hospitals as the system continues to push back the sale timeline for its various assets. Steward, which filed for Chapter 11 bankruptcy protection in May, said in a Tuesday court filing it indefinitely postponed the planned July 11 sale hearing for its five hospitals in Arkansas, Louisiana, Ohio and Pennsylvania. Bids for those facilities were due June 24. (Kacik, 7/10)
Modern Healthcare:
Sanford Health, Marshfield Clinic In Talks To Combine
Sanford Health and Marshfield Clinic Health System said Wednesday they are exploring a combination, following failed efforts of their own to expand. Under a nonbinding memorandum of understanding, the combined system would be headquartered in Sioux Falls, South Dakota, home to Sanford, and led by Sanford President and CEO Bill Gassen, according to a Wednesday news release. (Kacik, 7/10)
Modern Healthcare:
Geisinger To Add 11-Story Patient Tower With $880M Expansion
Geisinger plans to embark next year on an $880 million expansion of its Danville, Pennsylvania, medical center, including the addition of an 11-story patient tower. The project has been formally approved by Geisinger parent company Risant Health, said Megan Brosious, chief administrative officer for Geisinger’s central region, on Tuesday. (DeSilva, 7/10)
Death Toll From Extreme Heat Nears 30
The bulk of heat-related deaths are in California and Oregon, states that have seen a string of triple-digit temperatures. Meanwhile in Texas, where Hurricane Beryl blew through, officials have opened NRG Arena to hospital patients who have been discharged but cannot safely return home just yet.
The Washington Post:
Heat Wave Sweeping The U.S. Has Caused At Least 28 Deaths, Reports Show
A searing heat wave that has gripped much of the United States in recent days is suspected of killing at least 28 people in the last week, according to reports from state officials, medical examiners and news outlets. The number, which is based on preliminary reports from California, Oregon and Arizona, is likely to grow as authorities assess the death toll of a heat wave that began last week, delivering record-breaking temperatures throughout the West and scorching East Coast cities. As of Wednesday, more than 135 million people across the Lower 48 were under heat alerts, many of which are expected to continue until the weekend. (Phillips,7/10)
The Washington Post:
As Extreme Heat Bakes The West, Emergency Helicopters Struggle To Fly
The call came at 2 p.m. Sunday: A driver suffered a brain injury in a traffic accident and needed to be flown to a different hospital as soon as possible. Lead helicopter pilot Douglas Evans noted the 116.6-degree temperature in Redding, Calif., where he would need to land. The tarmac was probably even hotter. In 27 years of operating medical helicopters around California, Evans had never had to cancel a flight because of excessive heat — until now. (Mellen, 7/10)
On the aftermath of Hurricane Beryl —
The Texas Tribune:
Beryl Power Outages Force 17 Texas Hospital To Use Generators
Electricity outages caused by Hurricane Beryl in Houston and southeast Texas forced health care providers there into a sharp pivot on Wednesday as they were forced to hold onto discharged patients longer instead of having them return to powerless homes baking in the summer heat. Lt. Gov. Dan Patrick addressed the scramble in a news conference, pointing to how Houston officials transformed NRG Arena, one of the event spaces used by the city’s annual rodeo and livestock show, into a field hospital for 250 discharged patients to free up space in local hospitals. (Simpson, 7/10)
Houston Chronicle:
NRG Arena To Hold 250 Patients Discharged From Houston Hospitals
NRG Arena is being converted into a 250-bed facility for patients who have been discharged from hospitals but cannot return to homes without power, Lt. Gov. Dan Patrick announced Tuesday. The move, which Patrick announced during a news conference with Mayor John Whitmire and other Houston leaders, will alleviate a backup in some local hospitals and free up space for new patients. (MacDonald, 7/10)
NPR:
Power Outages Can Be Risky For Those Relying On Medical Devices
As power outages caused by grid failures or extreme weather become more common — Hurricane Beryl leaving millions without electricity in Texas is the most recent example — people who rely on home medical devices face a growing risk. Some 4.5 million Medicare recipients and likely millions more of those with private insurance use such electricity-dependent equipment, including electric wheelchairs, hospital beds, ventilators and oxygen concentrators. (Graves, 7/11)
Research Identifies Immune System Issues As Cause Of Lupus
A new study illuminates the pathway that lupus follows as it develops, with abnormalities in sufferers' immune systems as a root cause. Also in the news, an AI disease diagnosis startup, and obituaries for two pioneering medical scientists.
NBC News:
Scientists Say They Have Identified A Root Cause Of Lupus
Researchers at Northwestern Medicine and Brigham and Women’s Hospital say they’ve discovered a root cause of lupus, a disease that affects hundreds of thousands of people in the U.S. Scientists have long suspected that a person’s genetics or hormones may predispose them to lupus, and that the disease may be triggered by environmental factors like a previous viral infection or exposure to certain chemicals. Now, a study published Wednesday in the journal Nature outlines a clear pathway for how the disease likely develops, pointing to abnormalities in the immune systems of people with lupus. (Bendix, 7/10)
Bloomberg:
French Startup Bioptimus Releases AI Model For Disease Diagnosis
The French startup Bioptimus is releasing an artificial intelligence model trained off of hundreds of millions of images that, it said, will aid in the research and diagnoses of diseases. The model, called H-optimus-0, is capable of performing complex tasks including identifying cancerous cells and detecting genetic abnormalities in tumors, the Paris-based company said in a statement. Bioptimus described the system as the largest model for pathology that is open source and widely accessible. (Hennessey, 7/10)
Also —
The Washington Post:
Bengt Samuelsson, Nobel Prize-Winning Medical Scientist, Dies At 90
Bengt I. Samuelsson, a medical researcher who shared the 1982 Nobel Prize for his role in explaining prostaglandins, hormonelike substances that regulate the intricate machinery of the human body, died July 5 at his summer home in Mölle, a coastal village in his native Sweden. He was 90. His death was announced by the Karolinska Institutet in Stockholm, the medical university where Dr. Samuelsson spent most of his career. He had cardiac disease, his family said. (Langer, 7/10)
The Washington Post:
Maxine Singer, Scientist Who Shaped Rules On Genetic Engineering, Dies At 93
Maxine Singer, a molecular biologist who helped map the inner workings of DNA and led seminal debates in the 1970s that contributed to the first guidelines on the potential risks and ethical implications of genetic engineering, died July 9 at her home in Washington. She was 93. The cause was chronic obstructive pulmonary disease and emphysema, said a statement from Carnegie Science, a research group that Dr. Singer headed from 1988 to 2002. (Murphy, 7/10)
Research Roundup: Foodborne Pathogens; Post-Covid Loss Of Smell; Meningococcal Vaccine; RSV Vaccine
Each week, KFF Health News compiles a selection of health policy studies and briefs.
CIDRAP:
Latest US Data Show Increased Detections Of Foodborne Pathogens
A new report of foodborne illness surveillance in the United States shows the country is not meeting disease-reduction goals. That may be, however, because of increased use of culture-independent diagnostic tests (CIDTs), which allow for diagnoses of infections that previously would not have been reported. (Soucheray, 7/9)
CIDRAP:
Study: Long-Term Post-COVID Altered Sense Of Smell In Healthcare Workers Common
A new study based on 2,149 healthcare workers (HCWs) employed at Danderyd Hospital in Stockholm, Sweden, shows that a significant proportion of those who contracted COVID-19 experienced lasting changes to taste and smell, with 45% reporting olfactory disorders 15 months after infection, and 24% still experiencing symptoms 2.5 years after infection. (Soucheray, 7/9)
CIDRAP:
Meningococcal Vaccines Shown To Be Moderately Effective Against Gonorrhea
A systematic review and meta-analysis of 12 studies suggests meningococcal vaccines show moderate effectiveness against gonorrhea infection, researchers reported yesterday in the Journal of Infection. (Dall, 7/9)
Reuters:
Study Finds Pfizer's RSV Vaccine Not Tied To Higher Risk Of Pre-Term Births
Pfizer's respiratory syncytial virus (RSV) vaccine for pregnant women was not tied to a higher risk of pre-term or early births, according to a study published on Monday that analyzed real-world use of the shots. The vaccine Abrysvo was approved by the U.S. Food and Drug Administration last year for women in their second or third trimesters of pregnancy to prevent infections tied to RSV in babies in the first six months after birth. (Santhosh, 7/8)
Editorial writers tackle H5N1, clinical trial diversity, and addiction.
Stat:
Preparing Schools For The H5N1 Bird Flu They’re Likely To Face
As Covid-19 swept across the United States, schools were among the most highly affected public spaces. To prepare for a potential H5N1 avian influenza jump to humans, schools need to be preparing for the scenario now before a sustained transmission event occurs. (Mario Ramirez, 7/11)
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Expand Community-Based Research To Make Clinical Trials More Diverse
Innovations in clinical trial designs and tools have the potential to unlock a new era of research that is more convenient for patients, more reflective of real-world treatment conditions, and more likely to enable participation of a diverse set of individuals. But a recent study reveals how far the U.S. is from realizing this potential: regions of the country with the worst social drivers of health are the least likely to host clinical trials. (Robert Metcalf and Jeffrey Francer, 7/10)
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The Baltimore Sun:
Expand Access To Life-Saving Overdose Reversal Agents
More people know the cost of losing someone to a drug overdose than you might realize. More than 40 percent of Americans say they know someone who died from an overdose, and 13 percent say such deaths have disrupted their lives, according to a study this year from the RAND Corporation. This research lays to rest the misconception that there’s anything rare or isolated about the impact of the opioid overdose crisis. As CEO of the nonprofit Caregiver Action Network, I know all too well that the opioid overdose crisis fueling so much of this grief impacts everyone it touches. Those trying to help or left to pick up the pieces suffer, too. (Marvell Adams Jr., 7/10)
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Doctors 'Overprescribing' Opioids Didn't Cause Overdose Epidemic
A key part of the federal government’s narrative about the epidemic of addiction and overdose deaths in the U.S. has been that it is driven by doctors and other clinicians overprescribing opioid painkillers. That story line is false — and was never true. (Richard A. "Red" Lawhern, 7/11)
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Everyone Deserves Addiction Treatment That Works-Including Those In Jail
The overdose crisis is claiming lives across the United States, but it reaches new depths of despair in the criminal justice system. Overdose is the leading cause of death among people returning to their communities after being in jail or prison. Providing addiction treatment in these settings could change that. (Nora D. Volkow and Tisha Wiley, 7/9)