- KFF Health News Original Stories 4
- ‘Painless’ Glucose Monitors Pushed Despite Little Evidence They Help Most Diabetes Patients
- For Spring Season, Young Athletes Get Back in the Game Despite Covid Risk
- How Covid Has Changed Our Movement, as Revealed by Your Cellphone
- Analysis: The Trump Health Care Policies That Deserve to Stick Around
- Political Cartoon: 'Go Outside to Play?'
- Vaccines 5
- More European Countries Pause Use Of AstraZeneca's Covid Vaccine
- It's Too Soon To Know If AstraZeneca's Shot Caused Blood Clots, Experts Say
- Moderna Starts Covid Vaccine Testing On Children Aged 6 Months To 11 Years
- States Dramatically Expand Vaccine Access, Prompting A Race To Sign Up
- Trump, Doctors, Ministers Urged To Carry Vaccine Message To Republicans
- Administration News 3
- With Two 'Giant Goals' Almost Met, Biden Hitting Road To Promote Them
- White House's Plans For Workplace Mask Standards Face A Delay
- CDC Probe Finds Trump Administration's Covid Policies Not Guided Enough By Science
From KFF Health News - Latest Stories:
KFF Health News Original Stories
‘Painless’ Glucose Monitors Pushed Despite Little Evidence They Help Most Diabetes Patients
The numbers of people wearing these monitors are soaring as prices have fallen and device-makers promote them to doctors and patients. But few studies show the devices lead to better outcomes for the nearly 25 million Americans with Type 2 diabetes who don’t inject insulin to regulate their blood sugar. (Phil Galewitz, )
For Spring Season, Young Athletes Get Back in the Game Despite Covid Risk
With schools opening up classrooms, millions of young athletes are also getting out on fields and courts. But pandemic precautions and delays are spurring conflicts among parents, coaches and doctors. (Laura Ungar, )
How Covid Has Changed Our Movement, as Revealed by Your Cellphone
Californians are venturing out to shop, dine and work far more now than a year ago, when state officials issued the first sweeping stay-at-home order. But we’re still sticking to home way more than before the pandemic, according to mobile phone tracking data. (Phillip Reese, )
Analysis: The Trump Health Care Policies That Deserve to Stick Around
President Joe Biden may want to continue the previous administration’s efforts to lower drug prices and make medical costs transparent. (Elisabeth Rosenthal, )
Political Cartoon: 'Go Outside to Play?'
KFF Health News provides a fresh take on health policy developments with "Political Cartoon: 'Go Outside to Play?'" by Mike Peters.
Here's today's health policy haiku:
THE HEAVY PRICE
Obesity kills
Only age a bigger risk
When the virus strikes
- Kathleen Walsh
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.
Do you have health care and health policy questions? It’s no secret that the health care system can be confusing. Whether you have questions about covid, insurance or surprise medical bills, KHN wants to hear what you'd like our reporters to answer. Share your questions here.
Summaries Of The News:
More European Countries Pause Use Of AstraZeneca's Covid Vaccine
Concerns over reports of blood clots in people who received that particular shot have led Germany, France, Italy, Portugal, Spain and Sweden to join the list of nations to stop using it. Other countries, like Canada and Thailand, take steps to reassure their citizens that the AstraZeneca jab is safe.
USA Today:
EU Countries Suspend AstraZeneca Vaccine As US Considers Authorization
Germany, France, Spain, Italy and Portugal on Monday suspended use of AstraZeneca’s coronavirus vaccine over new reports of blood clots, even as a U.S. official said the vaccine could win U.S. authorization next month. Dr. Francis Collins, director of the National Institutes of Health, told Reuters that data from the 30,000-person vaccine trial were being reviewed by independent U.S. monitors to determine whether the shot is safe and effective. The U.S. Food and Drug Administration could complete its reviews and issue an emergency use authorization next month if all goes well, he said. (Ortiz, Bacon and Aspegren, 3/15)
The Wall Street Journal:
Germany, France, Italy Suspend Use Of AstraZeneca’s Covid-19 Vaccine
Germany, Italy, France and Spain joined the ranks of European countries that have temporarily halted use of the Covid-19 shot made by AstraZeneca PLC over blood-clot concerns, dealing another blow to the continent’s sluggish vaccination rollout and threatening the credibility of the vaccine itself. A cascade of cautionary pauses that started last week picked up Monday. Denmark was the first to suspend the shots. Ireland, Norway, the Netherlands and Iceland have also said they would wait for Europe’s bloc-wide medicines regulator to investigate a small number of serious blood-clotting issues among people who had received the AstraZeneca shot. (Strasburg and Pancevski, 3/15)
AP:
Sweden Is Latest Country To Stop Using AstraZeneca Vaccine
Sweden on Tuesday became the latest European country to pause use of the AstraZeneca COVID-19 vaccine amid reports of dangerous blood clots in some recipients. The company and international regulators continue to say the vaccine is safe, however, and many countries elsewhere in the world are forging ahead with their vaccination campaigns. (Grieshaber, 3/16)
AP:
Thai PM Gets AstraZeneca Jab, 1 Asian Country Suspends
Thailand’s prime minister received a shot of the COVID-19 vaccine manufactured by AstraZeneca on Tuesday, as much of Asia shrugged off concerns about reports of blood clots in some recipients in Europe, saying that so far there is no evidence to link the two. Many countries using the vaccine also said the benefits from inoculation far outweighed possible risks, even as parts of Europe suspended it pending investigation of potential side effects. AstraZeneca has developed a manufacturing base in Asia, and the Serum Institute of India, the world’s largest vaccine maker, has been contracted by the company to produce a billion doses of the vaccine for developing nations. Hundreds of millions more are to be manufactured this year in Australia, Japan, Thailand and South Korea. (Quinn, 3/16)
Bloomberg:
AstraZeneca Vaccine: Canada's Justin Trudeau Says All Approved Shots Are Safe
Justin Trudeau sought to reassure Canadians that every Covid-19 vaccine approved in the country is safe even as the European Union’s three biggest economies suspended use of AstraZeneca Plc’s shot. Germany, France and Italy ordered health officials to stop administering the vaccine Monday after inoculated citizens reported suffering blood clots in their legs and lungs. Trudeau said his government is following the developments closely. “Health Canada, our experts and scientists have spent an awful lot of time making sure that every vaccine approved in Canada is both safe and effective,” the prime minister told reporters in Montreal. “Therefore, the best vaccine for you to take is the very first one that is offered to you.” (Bolongaro, 3/15)
The Washington Post:
Global Rollout Of AstraZeneca Vaccine Unchanged By Europe Suspensions, WHO Says
Global distribution of the AstraZeneca coronavirus vaccine remains undisturbed by the shot’s suspension in much of Europe following reports of blood clots in some shortly after immunization, the World Health Organization said. The U.N. agency, which continues to recommend the vaccine, is helping provide doses to many poorer nations and said that the majority of those injections are being produced outside of Europe where the suspensions are now taking place. (Cunningham, 3/16)
On Monday, AstraZeneca strongly defended its vaccine —
The New York Times:
AstraZeneca Concerns Throw Europe’s Covid-19 Vaccine Rollout Into Deeper Disarray
The company has strongly defended its vaccine, saying that there is “no evidence” of increased risk of blood clots or hemorrhages among the more than 17 million people who have received the shot in the European Union and the United Kingdom. “The safety of all is our first priority,” AstraZeneca said in a statement Monday. “We are working with national health authorities and European officials and look forward to their assessment later this week.” (Horowitz, 3/15)
It's Too Soon To Know If AstraZeneca's Shot Caused Blood Clots, Experts Say
While investigations are underway, there is yet no evidence of a link to severe adverse effects and many health experts say nations are reacting prematurely. And they worry that even if AstraZeneca's vaccine is proven safe, the damage is done to public confidence.
The Washington Post:
AstraZeneca And Blood Clots: Without Causality, Experts Say Reports Shouldn’t Rule Out A Vaccine
Amid growing concerns about reports of blood clots among AstraZeneca coronavirus vaccine recipients, health experts are urging the public not to jump to conclusions about any vaccine’s safety based solely on reports of adverse events and in the absence of further research. “A vaccine is designed to prevent a certain kind of thing — prevent an infection or prevent disease,” said Susan Ellenberg, a professor of biostatistics, medical ethics and health policy at the University of Pennsylvania’s Perelman School of Medicine. “It’s not going to prevent every bad thing that could possibly happen to anybody, so when a vaccine is widely used, all the other kinds of bad things that could happen to people are still going to happen. (Chiu, 3/15)
CNBC:
Doctors Baffled As Countries Suspend Use Of AstraZeneca Vaccine Over Blood Clot Fears
Health experts say they are disappointed and confused by the flurry of suspensions of the coronavirus vaccine developed by AstraZeneca and the University of Oxford, warning there is not yet enough data to justify these decisions. Sweden and Latvia on Tuesday joined a fast-growing list of European countries suspending the use of the vaccine as a precautionary measure following reports of blood clots. Germany, France, Italy and Spain on Monday said they would all stop administering the shot. (Meredith, 3/16)
The New York Times:
Should You Be Concerned About Blood Clots, Bleeding And The AZ-Vaccine?
Dr. David Wohl, director of the vaccine clinic at the University of North Carolina, said he had seen no evidence that any of the Covid vaccines had caused blood clots, also called thrombosis, in the large clinical trials that led to their authorization. But Dr. Wohl also noted, “There are differences between trials and real life.” (Grady and Robbins, 3/15)
CNBC:
‘The Damage Is Done’: Europe’s Caution Over AstraZeneca Vaccine Could Have Far-Reaching Consequences
The decision by many European countries to suspend the use of the Oxford-AstraZeneca coronavirus shot could have far-reaching consequences, according to analysts, with vaccine uptake and the wider immunization program already lagging in the region. Sweden and Latvia on Tuesday became the latest countries to suspend the use of Oxford-AstraZeneca vaccine over blood clot concerns. (Ellyatt, 3/16)
Axios:
What's Going On With The AstraZeneca Vaccine
The big picture: This is arguably the most important vaccine in the world in the near term. Around 3 billion doses have been reserved to date, and more than half are destined for developing countries. ... In the U.S., which ordered 300 million doses, the vaccine has still yet to be approved. AstraZeneca’s U.S. trial was paused for seven weeks last fall. Concerns about the company's trials intensified after it emerged that some British participants had been mistakenly given a half-strength dose (surprisingly, they had better results). (Lawler, 3/15)
Stat:
The Curious Case Of AstraZeneca's Covid-19 Vaccine
AstraZeneca’s Covid-19 vaccine is facing a crisis of confidence, with one European country after another, as if seized by a fit of panic, temporarily suspending its use over concerns about reports of blood clots in people who received it. Denmark, Iceland, and Norway had earlier said they would temporarily stop using the two-dose vaccine. On Sunday, Ireland announced a similar decision. France, Germany, and Italy followed on Monday. (Herper, 3/15)
Moderna Starts Covid Vaccine Testing On Children Aged 6 Months To 11 Years
In addition to testing its existing coronavirus vaccine on young children, Moderna is also starting to test a next-generation version of the vaccine that is storable at a higher, more refrigerator-friendly temperature.
Axios:
Moderna Begins Testing COVID Vaccine On Kids Aged 6 Months To 11 Years
Moderna announced Tuesday that it has begun testing its coronavirus vaccine on children ages six months to less than 12 years in a Phase 2/3 trial beginning in the U.S. and Canada. Why it matters: It's an important first step in expanding the vaccine rollout beyond adults, who are at higher risk of severe disease and have been a focus of inoculation campaigns around the world thus far. (3/16)
The Wall Street Journal:
Moderna Is Testing Its Covid-19 Vaccine On Young Children
Moderna Inc. has begun studying its Covid-19 vaccine in children aged six months to 11 years in the U.S. and Canada, the latest effort to widen the mass-vaccination campaign beyond adults. The Cambridge, Mass. company said Tuesday that the first children have received doses in the study, which Moderna is conducting in collaboration with the National Institute of Allergy and Infectious Diseases and a division of the Department of Health and Human Services. (Loftus, 3/16)
In other Moderna news —
Axios:
Moderna Begins Testing On Refrigerator-Stable COVID-19 Vaccine
Moderna announced Monday that it has begun testing on a potentially refrigerator-stable version of its coronavirus vaccine. Moderna's "next generation COVID-19 vaccine," if found to be effective, could be handled by ordinary pharmacies that aren't equipped with ultra-low freezers, which have been an impediment in the vaccine rollout. (Rummier, 3/15)
Fox News:
Moderna's Next Generation COVID-19 Vaccine Candidate Tested In Clinical Trial Participants
Moderna on Monday announced that it began administering its next generation COVID-19 vaccine candidate in a Phase 1 study. The new candidate, mRNA-1283, can be stored in a refrigerator which could potentially ease storage and shipping hurdles. "We are pleased to begin this Phase 1 study of our next generation COVID-19 vaccine candidate, mRNA-1283," Stephane Bancel, Moderna CEO, said in a press release Monday. "Our investments in our mRNA platform have enabled us to develop this next generation vaccine candidate which is a potential refrigerator-stable vaccine that could facilitate easier distribution and administration in a wider range of settings, including potentially for developing countries. We remain committed to helping address this ongoing public health emergency." (Hein, 3/15)
And the Moderna and Pfizer vaccines are given to organ recipients —
AP:
How Well Do COVID Vaccines Protect After Organ Transplant?
On Monday, researchers at Johns Hopkins University reported a first attempt to find out. They tested 436 people who had received new organs in recent years and were getting the Pfizer or Moderna vaccines. A few weeks after the first dose, 17% of the transplant recipients had developed antibodies against the coronavirus, said Dr. Dorry Segev, a Hopkins transplant surgeon who co-authored the study. Segev acknowledged transplant recipients may fare better after the needed second dose — he’ll also check that — but prior studies show the first shot is enough to kickstart antibody production in just about everybody with a well-functioning immune system. (Neergaard, 3/15)
States Dramatically Expand Vaccine Access, Prompting A Race To Sign Up
Mississippi, Georgia and California are adding millions of new places in their vaccination lists. But areas like the suburbs of Philadelphia are still struggling with supply of the vaccines, and some groups are still reluctant to be vaccinated.
Clairion Ledger:
In Mississippi, All Adults Can Get COVID-19 Vaccinations Starting Tuesday
Starting Tuesday, vaccine eligibility flood gates will open.Ten days after Gov. Tate Reeves' repeal of all county mask mandates, he gave another directive over Twitter on Monday: COVID-19 vaccine eligibility is opening to all Mississippians. It's a far sooner date than President Joe Biden's goal of widening eligibility to all Americans by May 1. But Mississippi wasn't first up to bat. Arizona and Alaska made the move last week. (Haselhorst, 3/15)
San Francisco Chronicle:
Bay Area Counties Open Vaccines To All Adults With Disabilities And Health Conditions, But Access Is Spotty
Even as California, including many Bay Area counties, opened up coronavirus vaccine eligibility to roughly 4.4 million younger residents with disabilities and underlying medical conditions on Monday, access to appointments remained spotty for some. Jenny Panighetti, who lives in Mountain View and uses a wheelchair because of arthrogryposis, a muscle and joint disease, has been trying since last week to book a vaccine appointment. But she found that many sites are either not scheduling first-dose shots or have yet to update their eligibility to include people under 65 with disabilities or health conditions associated with serious illness and death from COVID-19. (Ho and Gafni, 3/15)
Philadelphia Inquirer:
Philly Suburbs Can’t Inoculate Everyone In Group 1A By May 1 Unless They Get A Lot More Vaccine, Officials Say
The Philadelphia suburbs are prepared to meet the state’s March 28 deadline to schedule coronavirus vaccinations for all eligible residents who want one. But it may be months before those shots actually get into the arms of the counties’ most vulnerable residents, officials said Monday. Chester County expects it will take as long as three months to vaccinate all their residents in phase 1A, which includes people 65 and older and adults with high-risk conditions, while Montgomery County anticipates it could take up to five months. And these estimates, county officials say, do not allow for any appointments by people in lower-priority groups. (McCarthy, 3/15)
Atlanta Journal Constitution:
Georgians Scramble For COVID Vaccine Slots On Day 1 Of Expanded Eligibility
Georgia’s big push to quell COVID-19 began Monday with overwhelming demand, prompting celebrations among those able to get vaccines into their arms and frustrations for those who couldn’t. Appointments were quickly booked at vaccination sites in Fulton County, DeKalb County, Macon and Habersham County. Fulton’s vaccine hotline saw a surge in callers trying to get a place in line. Others navigated though the multiple state and pharmacy sign-up websites available to Georgians, only to be likely informed that all slots were gone and they’d be contacted at a later date. (Hart, Oliviero, Stirgus and Edwards, 3/15)
Axios:
How To Snag A COVID Vaccine Appointment In Des Moines
We're finally at the phase where your social media feed is probably sprinkled with vaccine selfies and reminder cards. Now that Iowans with pre-existing conditions are eligible for vaccinations — it's likely you or someone you know can schedule their shots. (Ta, 3/15)
The Baltimore Sun:
Under Pressure To Improve Equity, Maryland’s Mass COVID Vaccine Sites To Set Aside Appointments For Nearby Residents
Under pressure to improve striking disparities in Maryland’s COVID-19 vaccine distribution, Gov. Larry Hogan announced Monday that the state-run mass vaccination sites will set aside thousands of appointments per week for residents of Baltimore City, Prince George’s County and other jurisdictions where the clinics are located. The M&T Bank Stadium site in Baltimore, the Regency Furniture Stadium site in Waldorf, the Wicomico Youth and Civic Center in Salisbury, the Hagerstown Premium Outlets site in Western Maryland, and Six Flags America in Bowie will each set aside 2,100 “priority appointments per week,” the governor said in a news release. (Campbell, 3/15)
Boston Globe:
State Police Were Offered COVID-19 Vaccines At Work. Hundreds Have Declined To Get Them
Thirty percent of the Massachusetts State Police, totaling nearly 850 members in all, have not been vaccinated against COVID-19 at department-run clinics, reflecting a potential hesitancy that has lingered even among front-line law enforcement who interact with the public. The data among some State Police personnel stands in contrast to the acceptance of vaccines among the Massachusetts public, where shot-seekers have faced fierce competition as they join the state’s eligibility pool. Police, firefighters, and other emergency personnel were among the first to be made eligible, getting clearance to be vaccinated two months ago. Educators and school staff became eligible Thursday. (Stout and Moore, 3/15)
In other updates on the vaccine rollout —
Fox News:
Chicago Teachers Union Tells Members Not To Reveal If They Received COVID Vaccine
Tracking how many Chicago Public Schools teachers have been vaccinated against COVID-19 has been a challenge, in part, because the teachers union asking its members not to inform district officials, according to media reports. The school district and the Chicago Teachers Union have been involved in a public battle over whether to resume in-person instruction after months of virtual learning. The dispute centers on what the union has deemed inadequate safety protocols. The district opened its doors this month to tens of thousands of students from kindergarten to through eighth grade. The move came after weeks of tense negociations between district and untion leaders. (Casiano, 3/15)
WUSF Public Media:
USF Health Experts To Host COVID Vaccination Discussion In Spanish
University of South Florida Spanish-speaking faculty members are starting a series of Zoom discussions about the COVID-19 vaccine and ways to prevent the spread of the virus. The community discussions, which kick off Tuesday at 6:30 p.m., will be in Spanish, giving attendees the chance to voice their concerns and opinions in their native language. (Shalabi, 3/15)
Politico:
Why Newsom Still Isn't Getting The Vaccine
President Joe Biden, Vice President Kamala Harris and their spouses have it. The governors of Texas, Iowa and West Virginia have gotten theirs. But in California, elected officials from Gov. Gavin Newsom on down have largely chosen not to get vaccines yet. (Kahn, 3/15)
Trump, Doctors, Ministers Urged To Carry Vaccine Message To Republicans
As polls show strong hesitancy among Republicans, some Biden administration officials call on former President Donald Trump to more forcefully encourage his supporters to get vaccinated. President Joe Biden says that education efforts by doctors and preachers could be more effective though.
ABC News:
Biden, Fauci Appear At Odds Over Calling On Trump To Urge Supporters Get Vaccinated
President Joe Biden appeared to be at odds with his top scientist in the pandemic fight, Dr. Anthony Fauci, about whether former president Donald Trump should urge his supporters to get vaccinated, given a poll that shows they are the Americans most likely not to get the shots. "Should President Trump help promote the vaccine amongst skeptics, sir? Especially those Republicans who say that they’re not willing ... ," a reporter at the White House asked Biden at the end of an event Monday. (Stoddart, 3/15)
The Hill:
White House Would Welcome Trump Urging Supporters To Get Vaccinated
The Biden administration on Monday indicated it would welcome former President Trump getting more involved in vaccine outreach efforts, but signaled it would spend its time investing in local doctors and community leaders who might convince skeptical conservatives to get the shot. "If former President Trump woke up tomorrow and wanted to be more vocal about the safety and efficacy of the campaign, of the vaccine, certainly we’d support that," White House press secretary Psaki said at a briefing with reporters. (Samuels, 3/15)
The Hill:
Former Coronavirus Testing Czar Says It's 'Very Important' For Trump To Encourage Followers To Get Vaccinated
Adm. Brett Giroir, former President Trump's coronavirus testing czar, said Monday that it is “very important” for the former president to encourage his supporters to get vaccinated. “I think it's very important for former President Trump, as well as the vice president, to actively encourage all the followers to get the vaccine,” Giroir, the former assistant secretary for health at the Department of Health and Human Services, told Jake Tapper on CNN’s “The Lead” on Monday. (Schnell, 3/15)
NPR:
Calls Grow For Trump To Urge Hesitant Supporters To Get COVID-19 Vaccine
Republicans and supporters of Donald Trump are the least likely to say they will seek a COVID-19 vaccine when one becomes available to them. That has led to calls for the former president to speak out more forcefully to encourage his supporters to get vaccinated. "I think it's very important for former President Trump, as well as the [former] vice president [Mike Pence], to actively encourage all of their followers to get the vaccine," Adm. Brett Giroir, who was the coronavirus testing czar in the Trump administration, said Monday afternoon on CNN. (Montanaro, 3/16)
Also —
The Washington Post:
Vaccine-Hesitant Republicans Say They Want Information, Not Ad Pitches On Covid Shots
Be honest that scientists don’t have all the answers. Tout the number of people who got the vaccines in trials. And don’t show pro-vaccine ads with politicians — not even ones with Donald Trump. That’s what a focus group of vaccine-hesitant Trump voters insisted to politicians and pollsters this weekend, as public health leaders rush to win over the tens of millions of Republicans who say they don’t plan to get a coronavirus shot. (Diamond, 3/15)
AP:
'I Don’t Need The Vaccine': GOP Worries Threaten Virus Fight
“The way I feel about it is: I don’t need the vaccine at this point,” she said. “And I’m not going to get the vaccine until it is well established.” That sentiment demonstrates the challenge ahead for public health officials as the U.S. intensifies its efforts for widespread vaccinations that could put an end to a devastating pandemic that has left more than 530,000 dead. The campaign could falter if it becomes another litmus test in America’s raging culture wars, just as mandates for mask-wearing were a point of polarization at the onset of the virus. (Colvin and Hollingsworth, 3/16)
To Boost Covid Vaccination Rate, CMS Bumps Up Medicare Provider Payments
The Biden administration has raised the average figure Medicare pays providers giving out covid vaccines from $28 to $40 for single-dose shots and $45 to $80 for double doses. The move is to encourage providers to give more vaccinations.
Modern Healthcare:
CMS Boosts Reimbursement For Administering COVID-19 Vaccinations
The Biden administration on Monday increased how much Medicare pays providers to administer COVID-19 vaccinations to encourage them to vaccinate more people, hire additional staff and do more patient outreach and education. CMS boosted the average payment for COVID-19 immunizations from $28 to $40 for single-dose vaccines and $45 to $80 for two-dose vaccines. But the amount each provider receives varies depending on what type of entity carries out the immunization and where it's located, according to the agency. The changes take effect immediately. (Brady, 3/15)
CIDRAP:
US Ups COVID Vaccine Payment, Notes Good Dosing Compliance
Today, the Biden administration bumped up Medicare reimbursements to healthcare providers for COVID-19 vaccines from $28 to $40 for a single dose and from $45 to $80 for a two-dose regimen, said Andy Slavitt, White House senior advisor for COVID response, in a morning coronavirus press briefing. "This will make it easier for more healthcare providers to get out into communities and give more COVID shots to people in need," Slavitt said. "We need this heroic team in particular to make sure that our highest-risk and underserved populations are cared for." (Van Beusekom, 3/15)
The Washington Post:
In The Coronavirus Relief Package, A Prescription To Expand Medicaid
Florida and 11 other states, most of them across the South, are the intended audience for a few paragraphs deep in the 630-page American Relief Plan. The legislation offers a novel and generous financial incentive to states if they agree to open Medicaid to more poor people and some in the working class. The White House has embraced the incentive, designed in Congress. It will pose an early test of Biden’s powers of persuasion as he tries to make good on his pledge to close the nation’s considerable gaps in insurance and health care — gaps the pandemic has thrown into vivid light. (Goldstein, 3/15)
In other Medicare news from California —
The New York Times:
California Sues Nursing Home Chain, Saying It Manipulated Ratings System
California prosecutors sued the country’s largest chain of senior living communities on Monday, accusing the company, Brookdale Senior Living, of manipulating the federal government’s nursing-home ratings system. The lawsuit was filed by California’s attorney general, Xavier Becerra, and other prosecutors against Brookdale, which operates multiple nursing homes in the state. (Silver-Greenberg, 3/15)
The Hill:
California Sues Nursing Home Chain Over Alleged Medicare 'Manipulation'
California prosecutors on Monday filed a lawsuit against Brookdale Senior Living, the state’s largest nursing home chain, accusing it of manipulating ratings on the federal government’s rating system, as well as illegally discharging patients. The New York Times reports that California Attorney General Xavier Becerra, President Biden's nominee to lead the Department of Health and Human Services, filed the lawsuit along with other prosecutors in the Superior Court in California. They accuse Brookdale of winning “undeserved higher star ratings” up until April 2018 by submitting false reports about its staff members. (Choi, 3/15)
With Two 'Giant Goals' Almost Met, Biden Hitting Road To Promote Them
The president will crisscross the nation on a “Help is here” tour to cheer passage of his covid-relief legislation and the nearly-there inoculation of 100 million Americans.
Axios:
Biden Pledges 100 Million Total Shots, 100 Million Relief Checks In Next 10 Days
President Biden said in a speech from the White House Monday that his administration will reach two "giant goals" in the next 10 days: 100 million coronavirus vaccine doses and 100 million relief checks distributed to the public. The speech kicks off the administration's "Help is Here" campaign, which will see Biden and Vice President Harris travel the country to sell the benefits of the $1.9 trillion COVID relief package to the American public. (Saric, 3/15)
NBC News:
Biden: U.S. Will Reach 100M Shots Ahead Of Schedule As Millions Of Stimulus Checks Go Out
President Joe Biden said Monday that the United States will reach his goal of administering 100 million coronavirus vaccination shots ahead of schedule, hitting the milestone as 100 million stimulus checks go out to Americans under his Covid-19 relief package. "It's here, sooner than many ever thought possible," Biden said in remarks at the White House. "Over the next 10 days, we will reach two giant goals: One hundred million shots in people's arms and 100 million checks in people's pockets." (Shabad and Pettypiece, 3/15)
AP:
Biden To Join Road Show Promoting Relief Plan With Pa. Visit
President Joe Biden is joining top messengers already crisscrossing the country to highlight the benefits of his massive COVID-19 rescue plan, in his case by promoting aid for small businesses. Biden is set to visit a small business in suburban Philadelphia on Tuesday, his initial trip outside Washington for the “Help is here” tour that got underway Monday. Vice President Kamala Harris dropped in on a COVID-19 vaccination site and a culinary academy in Las Vegas while first lady Jill Biden toured a New Jersey elementary school. (Superville, Lemire and Miller, 3/16)
Politico:
Needing To Sell The Covid Bill, The White House Calls In Dr. Jill
A rubber-floored playground outside an elementary school in a small city in central New Jersey may not seem like the most traditional of political settings. But on a windy, cold afternoon on Monday, it was the spot where the Biden administration chose to begin its salesmanship of the most ambitious piece of legislation in at least a decade. There, outside Samuel Smith Elementary School, First Lady Jill Biden told a small crowd of school board members, elementary school teachers and members of the New Jersey congressional delegation that help was on the way. And if they had trouble hearing it over the wind, a sign in all caps was there, on the lectern, to remind them: “Help is Here Tour.” (Daniels, 3/15)
In related news about the economic stimulus —
CBS News:
JPMorgan Chase And Wells Fargo Face Customer Anger Over Stimulus Checks
The IRS is now starting to distribute the third round of stimulus checks, worth up to $1,400 per eligible adult and child. But the timing of getting a check may depend partly on a bank's policies, with some customers of JPMorgan Chase and Wells Fargo expressing frustration after the banks said the coronavirus relief payments won't be available until March 17. (Picchi, 3/15)
Georgia Health News:
Many Georgians To Get Insurance Price Break Thanks To COVID Bill
Before the pandemic struck, Himali Patel and her brother owned five small retail businesses. Now they’re down to one — a dry cleaning establishment. They have seen a disheartening drop in their income as COVID-19 ravaged the economy. Patel, an Atlantan who has multiple medical conditions, has been getting her health insurance through the Georgia exchange. (Miller, 3/15)
White House's Plans For Workplace Mask Standards Face A Delay
With discussions ongoing, President Joe Biden's plan for a national mask standard for workplaces will miss its deadline. In other news the White House is rolling back covid tests for its own staffers, and the administration comments on New York Governor Andrew Cuomo's vaccine czar controversy.
CBS News:
Face Mask Standard In Workplaces Misses President's Deadline
The White House's self-imposed deadline to impose a nationwide face mask standard in workplaces won't be met, since deliberations are still underway. President Biden on January 21 directed the Labor Department's Occupational Safety and Health Administration to determine by Monday, March 15, if such a standard is needed. An emergency temporary standard on face masks in the workplace is ultimately expected to be issued, but the analysis has not yet been completed, three people familiar with the process told CBS News. (Erickson, 3/15)
Axios:
White House Rolls Back COVID-19 Testing For Staffers
The Biden administration issued new internal guidance Monday saying it would reduce daily coronavirus testing for White House staff to once a week, Axios has learned. Now that a majority of officials working on the 18-acre complex have been vaccinated, the administration is relaxing some of its coronavirus restrictions — a step closer to normalcy. (Treene, 3/15)
In other news from the Biden administration —
Politico:
Psaki Calls Cuomo Vaccine Chief's Political Outreach 'Inappropriate'
White House press secretary Jen Psaki on Monday called reports that Gov. Andrew Cuomo’s vaccine czar blurred lines by querying county officials about their loyalty to New York’s embattled governor “concerning” and “inappropriate.” “We work to ensure that [the Covid vaccine] is equitably distributed and that there are not steps that are taken that are concerning,” Psaki told reporters Monday. “So we were concerned, of course, about the reports of this inappropriate behavior, but we also have a number of steps in the system to ensure that the people of New York, the people of any state [that] the vaccines are being distributed fairly and equitably.” (Niedzwiadek, 3/15)
Stat:
Xavier Becerra’s 4 Most Urgent Challenges As HHS Secretary
Xavier Becerra has survived the worst of a tense confirmation battle to become HHS secretary, but in the days ahead he will face a much more intimidating challenge: governing during a pandemic. The Biden administration couldn’t slow down its Covid-19 response efforts to wait for Becerra’s confirmation, so his responsibilities have so far been farmed out to the White House and officials who didn’t need Senate approval. Once he’s confirmed, which is expected this week, Becerra will have to carve out his role in the Covid-19 response while juggling the demands of other crises and staffing a massive department. (Cohrs, 3/16)
CDC Probe Finds Trump Administration's Covid Policies Not Guided Enough By Science
The Trump White House's coronavirus guidance was at times influenced too much by political appointees and not enough by federal scientists, determines a new CDC review conducted in an effort to restore faith in the beleaguered health agency.
The Hill:
CDC Review Finds Trump-Era Guidance Was Not Based On Science
Federal health officials have identified and removed guidance documents released during the Trump administration that were not grounded in science and not "primarily authored" by Centers for Disease Control and Prevention (CDC) staff, according to an agency internal review. The review specifically cited three reports issued by the Trump administration that had already been removed from the agency's website: guidance on reopening schools issued in July, guidelines on "reopening America" issued in April, and guidance on COVID-19 testing issued in August. (Weixel, 3/15)
CNN:
Agency Review Finds Some Trump Administration CDC Guidance Was Not Grounded In Science Or Free From Undue Influence
The review found that some guidance "used less direct language than available evidence supported," "needed to be updated to reflect the latest scientific evidence" and "presented the underlying science base for guidance inconsistently," according to the spokesperson.
Additionally, the review identified three documents that were not primarily authored by the CDC and yet were presented as CDC documents, according to the spokesperson. The agency has removed two of the documents from its website, and updated and replaced the third. (Bonifield, Howard and Kelly, 3/15)
The Washington Post:
CDC Identifies Public-Health Guidance From The Trump Administration That Downplayed Pandemic Severity
CDC Director Rochelle Walensky ordered the review as part of her pledge to restore public trust in the beleaguered agency, which had seen its recommendations watered down or ignored during the Trump administration to align with the former president’s efforts to downplay the severity of the pandemic. (Sun, 3/15)
Axios:
CDC Review: Trump Administration's COVID-19 Guidance Downplayed Certain Risks
The review found that political appointees often ordered revisions to guidance and that the language of some guidance was not as strong as it could have been. Some recommendations lacked transparency and scientific rationale, while others weren't updated based on new evidence, according to the review. (Chen, 3/15)
Also —
ABC News:
Birx On Trump's Disinfectant 'Injection' Moment: 'I Still Think About It Every Day'
The former coronavirus response coordinator in the Trump White House, Dr. Deborah Birx, says she still thinks about the moment last year when she sat silently while former President Donald Trump raised the possibility of injecting disinfectant into people to treat COVID-19. "Frankly, I didn't know how to handle that episode," Birx said Monday in an interview with ABC News' Terry Moran for ABC News Live's "The Breakdown." "I still think about it every day." (Gittleson, 3/15)
KHN:
Analysis: The Trump Health Care Policies That Deserve To Stick Around
President Joe Biden’s goal of providing health care for more Americans advanced this week with his signing of an economic stimulus package that includes subsidies for health insurance premiums and new incentives for states to expand Medicaid, as well as the potential confirmation of Xavier Becerra as secretary of Health and Human Services. But as the current administration works to reverse the actions of its predecessor, it should recognize that former President Donald Trump introduced policies on medical care and drug price transparency that are worth preserving. Those measures could help struggling patient-consumers while the new administration pushes for the far more ambitious reforms Biden campaigned on, which include a public health insurance option and a system that would allow Medicare to negotiate drug prices. (Rosenthal, 3/16)
Is US Surge Of Highly Contagious Variant Inevitable?
The B.1.1.7 variant is poised to become the dominant strain in the U.S. but public health officials say future infection numbers depend on Americans' precautions. Meanwhile a new study confirms fears that it is more deadly than other variants. In related news: a new variant is discovered in France.
CNN:
A Concerning Variant Is About To Become Dominant In The US, Experts Say, And How Americans Act Could Help Fuel Or Curb A Surge
Experts are worried some Americans are letting up too early -- at a critical time when looming dangers are threatening to wipe out the progress the US has made in its battle against Covid-19.... The highly contagious B.1.1.7 variant that was first identified in the UK [is] projected to become the dominant variant in the US by the end of this month or early April, CDC Director Dr. Rochelle Walensky said Monday. (Maxouris, 3/16)
CIDRAP:
B117 Deadlier Than Other COVID-19 Strains, More Data Affirm
The B117 COVID-19 variant, which was first identified in the United Kingdom in October 2020, may pose a 61% higher risk of 28-day mortality, according to a study published today in Nature. The finding is in line with last week's BMJ study that reported B117 had a 64% higher 28-day risk of death among people older than 30, although both studies note absolute 28-day mortality risk remains low for most populations. (McLernon, 3/15)
In related news —
Reuters:
New Coronavirus Variant Found In French Region Of Brittany: French Government
A new coronavirus variant has been found in the French region of Brittany, said the French health ministry in a statement late on Monday, adding that initial analysis did not show this new variant to be more serious or transmissible than others. The health ministry said the new variant had been found in a cluster of cases in a hospital centre in Lannion. (3/16)
Fox News:
New COVID-19 Variant Discovered In France
The French health ministry said in a statement Monday that health officials in the country identified a new coronavirus variant that is not believed to be more deadly than earlier mutations. Reuters reported that the variant was found inside a hospital in Lannion. Disease experts have been warning about COVID-19 variants and the threats that they pose when it comes to controlling the virus. (DeMarche, 3/16)
Red Cross Blood Donations Show Many Likely Had Covid But Didn't Know It
More than 20% of donations from unvaccinated people had covid antibodies, CNN reports.
CNN:
Covid-19 Antibodies Present In About 1 In 5 Blood Donations From Unvaccinated People, According To Data From The American Red Cross
In the first week of March, more than 20% of blood donations from unvaccinated people had Covid-19 antibodies, according to data shared with CNN by the American Red Cross. Between mid-June 2020 and early March 2021, the American Red Cross tested more than 3.3 million donations from unvaccinated people in 44 states for the presence of Covid-19 antibodies. Overall, about 7.5% of the donations tested in that time frame were positive for Covid-19 antibodies, meaning the donors had likely been infected with the coronavirus at some point. (Bonifield and McPhillips, 3/16)
CIDRAP:
Small Saudi Study Finds 12% In ICU Had Both MERS And COVID-19
Out of 67 intensive care unit (ICU) patients who underwent simultaneous SARS-CoV-2 and Middle East respiratory syndrome coronavirus (MERS-CoV) testing in Saudi Arabia, 8 (11.9%) had coinfections, according to a new Travel Medicine and Infectious Disease study. The study didn't find any anomalous symptoms or mortality rates, although the researchers say more data are needed around mortality. (3/15)
In other news about the spread of the coronavirus —
NH Times Union:
COVID-19 Cases Tied To ‘King Of The Mat’ Wrestling Tournament In Hampton
State health officials are warning that anyone who competed in or attended a youth wrestling tournament held on the Seacoast earlier this month may have been exposed to COVID-19 and should get tested. Officials at the Department of Health and Human Services (DHHS) announced Monday they have identified potential community exposures related to multiple confirmed cases of COVID-19 associated with the King of the Mat Wrestling Tournament, held Saturday, March 6, at the RIM Sports Complex in Hampton. (Feely, 3/15)
Health News Florida:
COVID Cases Plummet 83% Among Nursing Home Staffers Despite Vaccine Hesitancy
Joan Phillips, a certified nursing assistant in a Florida nursing home, loved her job but dreaded the danger of going to work in the pandemic. When vaccines became available in December, she jumped at the chance to get one. Months later, it appears that danger has faded. After the rollout of COVID vaccines, the number of new COVID cases among nursing home staff members fell 83% — from 28,802 for the week ending Dec. 20 to 4,764 for the week ending Feb. 14, data from the Centers for Medicare & Medicaid Services shows. (Bailey, 3/15)
Salt Lake Tribune:
Utah Hits A 9-Month Low For New COVID-19 Cases, Although Fewer People Than Usual Were Tested
Utah reported its lowest number of new COVID-19 cases in more than nine months on Monday — 221. That’s down substantially from the previous day, when 396 new cases were reported. It comes on a day when fewer than 6,400 people were tested. But the last time there were fewer new cases was June 9, when that number was 196. The Utah Department of Health also reported no additional coronavirus-related fatalities. According to current information from UDOH, the last date on which there were no deaths was Sept. 15. (Pierce, 3/15)
Concord (N.H.) Monitor:
COVID Tracker: Improvement Has Stalled As Death Toll Equals The Population Of A Small Town
Lately, an almost-forgotten emotion has been returning: Optimism. Along with another blast from the past: Impatience. The optimism comes, of course, from the vaccine rollout, which is picking up steam. The state will release updated figures Tuesday, but already roughly one out of every nine adults in New Hampshire has been fully vaccinated. (Brooks, 3/15)
OxyContin Settlement Grows To $4.28B
The restructuring plan with Purdue Pharma includes another $1.5 billion and also ensures that the money will largely be spent to help curb the nation’s opioid crisis, rather than going into states' general coffers, The Wall Street Journal reported.
The Wall Street Journal:
OxyContin Owner Increases Settlement Offer To $4.28 Billion
The family that owns OxyContin maker Purdue Pharma LP agreed to pay roughly $4.28 billion—a larger sum than previously promised—to resolve lawsuits accusing it of helping to fuel the opioid epidemic. The payment from members of the Sackler family is part of a larger restructuring plan filed Monday night in U.S. Bankruptcy Court in White Plains, N.Y., that is intended to get Purdue out of chapter 11. (Randles and Randazzo, 3/16)
NPR:
Sackler Family Offers Billions More In Opioid Settlements
Under a bankruptcy plan filed late Monday night, Purdue Pharma would pay roughly $500 million in cash up front to settle hundreds of thousands of injury claims linked to the company's role in the deadly opioid epidemic. The company said additional payments would be spread over the next decade, including installments on roughly $4.2 billion promised by members of the Sackler family who own the firm. No fixed schedule was provided for when most of those disbursements would occur, though Purdue Pharma predicted as much as $1 billion in additional payouts would happen by 2024. (Mann, 3/16)
AP:
OxyContin Maker Purdue Proposes $10B Plan To Exit Bankruptcy
Most of the parties in the case are on board with the plan. But attorneys general representing 23 states and the District of Columbia issued a statement saying the offer “falls short of the accountability that families and survivors deserve.” They want more money from the Sackler family members and for Purdue to wind down in a way that “does not excessively entangle it with states.” The group includes most of the Democratic attorneys general across the U.S. and Idaho Attorney General Lawrence Wasden, a Republican. (Mulvihill, 3/16)
The New York Times:
Purdue Pharma Offers Plan To End Sackler Control And Mounting Lawsuits
If the plan is approved by a majority of the company’s creditors and Judge Robert D. Drain of federal bankruptcy court in White Plains, N.Y., payments will start pouring into three buckets: one to compensate individual plaintiffs, like families whose relatives overdosed or guardians of infants born with neonatal abstinence syndrome, as well as hospitals and insurers; another for tribes; and the third — and largest — for state and local governments, which have been devastated by the costs of a drug epidemic that has only worsened during the Covid-19 pandemic. (Hoffman and Walsh, 3/16)
In other news about the opioid crisis —
NBC News:
Latinos Grapple With Opioid Overdose Rise As Covid Pandemic Triggers Surge In U.S. Addictions
Diego considers himself fortunate. The 49-year-old man, who is only being identified by his first name for privacy reasons, thinks back on some dark moments in his life —all associated with drugs. He said his brothers introduced him to narcotics when he was 12 and living in his hometown of Springfield, Massachusetts. By the time he was 17, said Diego, who is of Puerto Rican descent, he was not only using drugs, but also trafficking in them. He said the drugs plunged him into a spiral of addiction, fracturing his family relationships and landing him in jail numerous times. (Carrasco, 3/15)
Good Numbers For Alzheimer's Drug Provoke Cautious Response
Experts sound a note of caution about possible influence of side effects and diversity issues in a study of Eli Lilly's promising drug. Meanwhile, there is progress with drugs to treat Duchenne muscular dystrophy and a cancer treatment from Rubius.
Stat:
Eli Lilly Releases Detailed Results On Alzheimer’s Drug
Eli Lilly’s experimental Alzheimer’s medicine donanemab showed some of the best early results seen by pharmaceutical researchers in the field. What divides many researchers is whether that is a reason for excitement or not. (Herper and Feuerstein, 3/13)
Stat:
A Deep Dive Into Eli Lilly’s Tantalizing Alzheimer’s Drug Data
Here is some analysis and perspective, not to mention a few burning questions, about the Phase 2 data Eli Lilly disclosed on its experimental Alzheimer’s therapy donanemab on Saturday. STAT earlier asked five independent scientists involved in Alzheimer’s research about the study; unsurprisingly, their opinions were quite mixed, with the data representing a Rorschah test for their views on Alzheimer’s drug development. The study was also published in the New England Journal of Medicine. (Feuerstein and Herper, 3/15)
In other pharmaceutical news —
Stat:
Insulin Makers Win A Round In Minn. Lawsuit Accusing Them Of Racketeering
In a setback to efforts to control insulin prices, a U.S. court judge tossed key accusations made in a high-profile lawsuit filed by the Minnesota Attorney General accusing three drug makers of price gouging. The lawsuit, which was filed in 2018, alleged that Eli Lilly (LLY), Novo Nordisk (NVO), and Sanofi (SNY) fraudulently set artificially high wholesale prices, but then negotiated lower prices by paying rebates and discounts to pharmacy benefit managers. In turn, pharmacy benefit managers create lists of medicines that receive preferred insurance coverage known as formularies. But the negotiations are confidential. (Silverman, 3/15)
Stat:
Solid Reports No Serious Toxicity With 'Safer' Duchenne Gene Therapy
Solid Biosciences said Monday that it has restarted a clinical trial involving its experimental gene therapy for Duchenne muscular dystrophy without the serious safety issues that forced the study to shut down in 2019. The biotech also disclosed for the first time interim results from patients treated before the study was stopped, showing small improvements in muscle and lung function after one year of follow up. (Feuerstein, 3/15)
Stat:
Rubius Drug Produces Anti-Tumor Responses — And More Questions
Two patients with cancer showed partial tumor shrinkage after infusions of a novel immune-boosting treatment derived from red blood cells, its maker Rubius Therapeutics said Monday. Rubius said the preliminary results of its early-stage clinical trial provided “clinical validation” of its treatment, called RTX-240. However, the company was unable to show data proving RTX-240 triggered the expected immune system attack against the patients’ tumors, leaving questions about its future unanswered. (Feuerstein, 3/15)
KHN:
‘Painless’ Glucose Monitors Pushed Despite Little Evidence They Help Most Diabetes Patients
In the nation’s battle against the diabetes epidemic, the go-to weapon being aggressively promoted to patients is as small as a quarter and worn on the belly or arm. A continuous glucose monitor holds a tiny sensor that’s inserted just under the skin, alleviating the need for patients to prick their fingers every day to check blood sugar. The monitor tracks glucose levels all the time, sends readings to patients’ cellphone and doctor, and alerts patients when readings are headed too high or too low. (Galewitz, 3/16)
Also —
Stat:
The Viability Of The U.S. Biosimilar Market Is Thrown Into Question Again
Despite periodic reports that biosimilars have finally arrived and will save the U.S. health care system billions of dollars, Peter Bach and Mark Trusheim remain unconvinced. So the high-profile skeptics have refreshed their controversial, two-year-old argument for overhauling the approach for making alternative versions of pricey biologic medicines available to the American public. (Silverman, 3/15)
Nursing Home Advocates Propose Long-Term Changes In Elderly Care
The joint proposal between the American Health Care Association and LeadingAge is dubbed the Care for Our Seniors Act. Other industry news is on telehealth, health care firm Color and ECRI's annual Top Ten Patient Safety Concerns for 2021.
Modern Healthcare:
Nursing Home Advocates Look To Make Long-Term Reform To Industry
The American Health Care Association and LeadingAge Monday released reform proposals for the nursing home industry that address quality of care, workforce challenges, oversight and modernization. The federal government has offered temporary relief to the industry through the COVID-19 pandemic but the proposed reforms aim to enact long-term change. Through the joint proposal, dubbed the Care for Our Seniors Act, the nursing home advocates are calling on lawmakers to "help resolve systemic challenges." (Christ, 3/15)
Axios:
Telehealth Usage Occurred Mostly In Urban, Wealthy Areas, Study Says
Affluent urban areas saw the biggest uptick in telehealth usage over the past year, according to a new study from RAND. Experts have hailed telemedicine, in part, for its potential to help rural patients who would have to travel long distances for an in-person appointment. But the study suggests that telehealth hasn't closed the rural-urban access gap even as its overall use has soared. (Fernandez, 3/16)
Stat:
Inside Color’s Big — And Highly Bankrolled — Pivot To Public Health Tech
Like many health care companies, Color has shifted to provide new services during the pandemic. Its Covid-19 test was authorized by the FDA in May, it added a self-administered test in July, and it’s built partnerships around the country to enable large-scale population testing (and now, in Massachusetts, vaccination). That has afforded Color the opportunity to show off what it now is marketing as its core product: last-mile health care infrastructure that reaches patients wherever they may be — a school, a workplace, a hospital. (Palmer, 3/16)
Modern Healthcare:
Disparities And Pandemic Preparedness New ECRI Top 10 Safety Concerns; Diagnostic Errors Bumped
Racial and ethnic disparities in health outcomes and crisis preparedness are the top concerns for patient safety that health leaders need to address, according to ECRI's annual Top Ten Patient Safety Concerns for 2021. This is the first time ECRI has made differences in how health systems treat people of color a top safety concern that poses the most risk for patients. The not-for-profit patient safety organization recommends that health systems create health equity governance committees, and devote money and other resources to organizational efforts to address disparities. (Gillespie, 3/15)
Air Passenger Numbers Go Up, But So Does Number Of Unruly Mask-Refusers
Even as the pandemic situation endures, passenger numbers for U.S. airlines are reaching levels not seen since March 2020. So the FAA will extend its strict policy on unruly passengers, particularly those refusing to wear masks, because there are too many.
CNN:
The Number Of Unruly Passengers On US Flights Is Too High, FAA Says, So It's Extending A Get-Tough Policy On Masking
The Federal Aviation Administration will extend its stricter enforcement against unruly passengers -- specifically targeting those who disobey masking policies -- after receiving more than 500 reports of misbehaving passengers since December, the agency said Monday. "The number of cases we're seeing is still far too high, and it tells us urgent action continues to be required," FAA Administrator Steve Dickson said. (Wallace, Muntean and Silverman, 3/16)
NPR:
More U.S. Travelers Are Flying Again Despite COVID-19 Risks
As COVID-19 vaccines roll out across the U.S., more travelers are taking to the skies. Friday marked the busiest day for the nation's airports since the middle of March 2020, when COVID-19 caused air travel to plummet. About 1.36 million passengers passed through security checkpoints Friday, according to figures from the Transportation Security Administration. That is the highest volume since March 15, 2020, when checkpoints reported more than 1.5 million passengers. But travel remains well below pre-COVID levels. In March of 2019, checkpoint traffic averaged more than 2 million passengers a day. (Hamilton, 3/14)
In other public health news —
The Washington Post:
U-Conn.’s Geno Auriemma Tests Positive For Coronavirus, Will Miss Start Of NCAA Tournament
Decorated University of Connecticut coach Geno Auriemma will miss the start of the NCAA women’s basketball tournament after he tested positive for the coronavirus. ... U-Conn. (24-1) won the Big East tournament March 8, bolstering its status as one of the favorites to win the NCAA tournament. The Huskies received one of the four No. 1 seeds in the tournament. (Bieler, 3/15)
CNN:
Mental Health Issues Plague Nearly Half Of Parents Said Their Teens During The Pandemic
Nearly half of parents reported their teenagers faced new or worsening mental health conditions since the pandemic began, a new poll has found. A survey of 977 parents with children ages 13 to 18 analyzed teen mental health conditions like anxiety, depression and aggressive behavior during the pandemic. The national poll, conducted by Ipsos for C.S. Mott Children's Hospital at the University of Michigan Medical School, looked at how parents were helping teens cope and whether they believed their strategies were successful. (Marples, 3/16)
KHN:
For Spring Season, Young Athletes Get Back In The Game Despite Covid Risk
This spring, high school senior Nathan Kassis will play baseball in the shadow of covid-19 — wearing a neck gaiter under his catcher’s mask, sitting 6 feet from teammates in the dugout and trading elbow bumps for hugs after wins. “We’re looking forward to having a season,” said the 18-year-old catcher for Dublin Coffman High School, outside Columbus, Ohio. “This game is something we really love.” (Ungar, 3/16)
KHN:
How Covid Has Changed Our Movement, As Revealed By Your Cellphone
For all of our grousing about covid fatigue, a few novel trends are clear one year into the pandemic. In the early weeks of 2021, Californians are staying home way more than we did in our pre-pandemic life. Even so, we’re heading out to shop, dine and work far more now than in March 2020, when state officials issued the first sweeping stay-at-home order, or the dark period that followed the winter holidays, when we hunkered down as covid-19 caseloads exploded. And to the extent we are venturing out, we are using cars rather than resuming pre-covid commute patterns on buses and trains, a trend with troubling implications for transit services and the environment should it become long-standing. (Reese, 3/16)
Also —
ABC News and Good Morning America:
5-Year-Old Girl Receives Kidney Donated By Her Teacher
A 5-year-old girl in Missouri did not have to look far to find a perfect match for the kidney she needed after being on dialysis for more than four years. Kayleigh Kulage, 5, of Pacific, Missouri, underwent a successful kidney transplant last month with her preschool teacher, Robin Mach. (Kindelan, 3/16)
NPR:
Alcoholic Liver Disease Sharply Rising Among Young Women, U.S. Doctors Say
For many years, Jessica Duenas led what she calls a double life. She was the first in her immigrant family to go to college. In 2019, she won Kentucky's Teacher of the Year award. That same year, Duenas typically downed nearly a liter of liquor every night. By the time she was 34, she was diagnosed with alcoholic hepatitis, a serious inflammation of her liver that doctors warned could could soon lead to irreversible scarring and even death if she didn't didn't stop drinking, and quickly. "I couldn't keep down any food," Duenas says. "My belly was supersensitive, like if I pressed on certain parts of it, it would hurt a lot. My eyes were starting to get yellowish." (Noguchi, 3/16)
North Carolina Health News:
Marine Vets Petition For Registry For Toxic Water Victims
In the yellowed photograph from 1968, a young Lisette Partain sits on a hospital bed cradling her newborn baby. A glass of water and a partially filled baby bottle rest on a bedside table. Mike Partain, the infant in the picture, believes his misery began at conception. Although it wouldn’t manifest itself for decades, Partain believes the water glass and the baby bottle contained toxins that for years had been leaching into the drinking water for Marine Corps Base Camp Lejeune in Jacksonville. (Barnes, 3/16)
ABC News:
Black Christians Discuss How Faith Informs Their Stances On Abortion
For Cherilyn Holloway, her support of Black Lives Matter has everything to do with her stance on abortion. When Michael Brown was fatally shot by a police officer in Ferguson, Missouri, in 2014, Holloway made a point to discuss the tragedy with her sons. “Here's a man who was shot in the street, he couldn't defend himself, the same way a baby can't defend themselves in the womb,” she said. “Because they both are lives, and both are lives that matter. And the issue we are dealing with right now in our society is a life issue. We have built a society that does not value life, whether it is in the physical form or in the womb.” (Mejia, Yang and Smith, 3/15)
Arkansas 'Medical Conscience' Bill Takes Step Closer To Governor's Desk
Other health news is from West Virginia, New Mexico, Montana and Florida.
Arkansas Democrat-Gazette:
House OKs Bill On Medical Providers' Conscience
A bill that would allow health care workers, hospitals and insurance providers to decline to provide services that violate their conscience has passed in both chambers of the Arkansas Legislature. Senate Bill 289 by Sen. Kim Hammer, R-Benton, called the "Medical Ethics and Diversity Act," would allow providers to opt out of procedures they don't agree with based on their religious or moral beliefs. Co-sponsor Rep. Brandt Smith, R-Jonesboro, said the bill gives a remedy to those providers to defend themselves and emphasized that the legislation is procedure-specific, while opponents of the bill say it's unnecessary and will lead to discrimination. (Herzog, 3/16)
AP:
W.Va. Receives $12.4M For Substance Abuse, Mental Health
West Virginia received two federal grants totaling $12.4 million for substance abuse prevention and treatment and for mental health services. U.S. Sens. Joe Manchin and Shelley Moore Capito announced the grants to the West Virginia Department of Health and Human Services on Monday in a joint news release. (3/16)
AP:
New Mexico Senate Passes Medically Assisted Suicide Bill
The New Mexico state Senate has passed a law that would remove criminal and civil liability for medical professionals who assist in the death of terminally ill patients who have chosen to end their life. The Elizabeth Whitfield End-of-Life Options Act is named for a former New Mexico judge who testified in support for a right to die for the terminally ill in 2017. She died of cancer the following year. (Attansio, 3/16)
Billings Gazette:
Committee Tables Bill To Require Licensure For Religious Teen Treatment Programs
In a party-line vote, a Montana Senate committee on Friday tabled Senate Bill 312, which aimed to close a loophole that allows religious residential treatment programs for youth in Montana to operate without any state oversight. The vote was 6-3 in the Montana Senate Public Health, Welfare and Safety committee. That means the bill is likely dead for the session, unless a vote is held to bring it back for consideration. This is the eighth consecutive session that former attendees of religious residential treatment programs, health professionals and lawmakers have fought to require state licensure of religious programs. (Evans, 3/15)
Also —
NBC News:
Florida Man Faces Charge After Allegedly Spitting At Disney Guard Over Mask Rules
A Florida man accused of spitting at a Disney World security guard who asked him to wear a mask was arrested last month, according to a sheriff's report released Monday. Kelly McKin, 51, of North Palm Beach, faces a charge of battery on a uniformed security guard in the Feb.5 incident, according to arrest and court records. McKin denied spitting on anyone, according to the arrest report. (Helsel, 3/15)
Viewpoints: Should Doctors Graduate Earlier?; Stroke Patient Protocols Need Update
Opinion writers weigh in on these public health issues.
USA Today:
We Need More Doctors. Should Medical School Be Shorter?
To help fight the COVID-19 pandemic, a number of medical schools are permitting students to graduate early in their final year. This development brought to mind a memorable letter I received when I was dean at the University of Virginia School of Medicine. Medical school usually lasts four years, and this letter came from the mother of a fourth-year student. She said her daughter had had a lot of time off and was about to fly to Tanzania to go hiking. She wondered whether she and her husband should be paying for this and whether it helped their daughter to be a better doctor. Good questions. I have asked myself the same things, and more. As I look back, when I attended Duke medical school, Duke had just started a new two-year base curriculum. The 1966 change meant the final two years of the four-year program were largely research and work with patients. Did that help to make better doctors? Or worse doctors? Maybe two years is enough. We don’t know. (Dr. Arthur "Tim" Garson Jr., 3/13)
NBC News:
Stroke Recovery And Rehabilitation Increases When Care Comes Quickly. Here's What's Needed.
In February, professional golfer Tiger Woods was seriously injured in a car accident. As is standard for trauma patients across the country, he was taken to a Level 1 trauma center, rather than the closest local hospital. This decision was made by first responders due to the severity of his injuries and the nature of the accident. Quick action by the hospital’s trained trauma team meant Woods then immediately got the right treatment. This is precisely the kind of response needed for stroke patients, of whom there are roughly 795,000 each year in the United States. The majority of stroke patients do not receive the same specialized, lifesaving treatment as trauma patients, and it’s not because they aren’t Tiger Woods. It’s because stroke protocols in many states are out of date or nonexistent when it comes to triaging and transporting patients to facilities that can treat its complexities. (Dr. William Mack, 3/15)
Seattle Times:
Specialized, Unarmed 911 Response Teams Can Best Help People In Crisis
On Feb. 16, 2021, a very grim, but familiar scene played out at the downtown waterfront in Seattle. Port of Seattle police saw Derek Hayden holding a knife, and believing him to be suicidal, tried to subdue him by firing foam-tipped projectiles. When that proved unsuccessful, the Port officers called the Seattle Police Department. Officers arrived, drew firearms, and as Hayden approached them, he was filmed saying “Do it, do it, please kill me. ”One in every 10 calls for police response involves a person suffering from a mental illness. One in every four people killed by police suffers from mental-health issues. The danger inherent in police encounters with individuals experiencing a crisis is so obvious that “suicide by cop” was sought by Hayden and so many others before him. This is a public-safety failure. (Adam Smith, 3/15)
The New York Times:
How To Lower Drug Prices
For around two decades, Roche’s breast cancer drug Herceptin has prolonged the lives of people with breast cancer, and AbbVie’s immunosuppressive drug Humira has eased the symptoms of rheumatoid arthritis patients. Such are the remarkable benefits of biologic drugs — large molecules that are manufactured using living cells. These kinds of drugs are typically received either in doctors’ offices as an infusion, or self-administered by injection. But for all their benefits, Herceptin, Humira and dozens of other older biologic drugs lie at the heart of the United States’ drug pricing crisis, racking up billions in annual U.S. sales from their persistently high prices. (Peter B. Bach and Mark R. Trusheim, 3/15)
Also —
CNN:
America's Coming Vaccine Glut
The United States will soon have more Covid-19 vaccines than it needs to inoculate its own people. The surplus ought to go to developing countries. And, to turn a slogan on its head, the priority should be Mexico. A vaccine surplus is hard to imagine. The dominant narrative of the pandemic has been one of scarcity. From personal protective equipment to ventilators and Covid tests to the rollout of the vaccine itself, we never seem to have enough. Yet, with regard to vaccines, we're likely to go from having too little to having too much -- and soon. (Michael Camuñez, 3/15)
Kansas City Star:
Kansas Bill Wouldn’t Let Employers Consider Vaccine Status
A bill in the Kansas Legislature would prevent businesses from taking someone’s vaccination status into account — for COVID-19 or anything else — in decisions on hiring, firing, compensation, benefits, promotions or leave. Instead of protecting the public from contagion, it would make the potentially contagious a protected class. So whose bad idea is this? (3/15)
The Philadelphia Inquirer:
Pa. Had Emergency Vaccine Distribution Plans Ready For Years. Why Didn't Gov. Wolf Use Them In The Suburbs Of Philadelphia?
The plans are there. On shelves across the collar counties of Philadelphia. Local emergency and public health officials even ran multiday drills in recent years to practice them in the event of a mass-scale medical emergency, including a pandemic. They’re on file with the state Department of Health, and the U.S. Centers for Disease Control and Prevention financed their creation and continual updating. I’m referring to emergency vaccine distribution plans. Medical countermeasures (MCMs), in technical parlance. They are hyperlocal. Tailored to get medicine in large quantities to the residents of these counties, based on how the counties themselves understand it should best be done. (Maria Panaritis, 3/15)