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Pharma and Tech: June 1, 2023

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Thursday, Jun 1 2023

When an Anti-Vaccine Activist Runs for President

Robert F. Kennedy Jr.’s official entry into the presidential race poses a thorny challenge for journalists: how to cover a candidate who’s opposed to vaccines without amplifying misinformation. And South Carolina becomes the latest state in the South to ban abortion after roughly six weeks of pregnancy. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KFF Health News senior correspondent Aneri Pattani about her project to track the billions of dollars coming from opioid makers to settle lawsuits.

This Panel Will Decide Whose Medicine to Make Affordable. Its Choice Will Be Tricky.

Markian Hawryluk

Colorado’s new Prescription Drug Affordability Board could cap what health plans and consumers pay for certain medications starting next year. The process will pit patient groups against one another.

PBMs, the Brokers Who Control Drug Prices, Finally Get Washington’s Attention

Arthur Allen

Drugmakers, pharmacies, and physicians blame pharmacy benefit managers for high drug prices. Congress is finally on board, too, but will it matter?

Readers and Tweeters Weigh Marijuana’s Merits Against Those of Alcohol or Opioids

KFF Health News gives readers a chance to comment on a recent batch of stories.

Watch: 5th Circuit Judges Question Two-Decade-Old Approval of Abortion Pill

Sarah Varney

The 5th Circuit Court of Appeals in New Orleans heard oral arguments Wednesday in a case brought by conservative Christian abortion opponents seeking to revoke FDA approval of mifepristone, a medication used in more than half of abortions in the U.S.

Michael Milken Wants to Speed Up Cures

Mark Kreidler

In his new book, “Faster Cures,” the former “junk bond king,” now a philanthropist, promotes business principles as catalysts for medical breakthroughs.

An AI Chatbot May Be Your Next Therapist. Will It Actually Help Your Mental Health?

Elisabeth Rosenthal

Given a dire shortage of human behavioral health providers in the U.S., it may prove tempting for insurers to offer up apps and chatbots to meet the federal mental health parity requirement. But artificial intelligence, by definition fake, can’t master the empathic flow between patient and doctor that’s central to therapy.

The Abortion Pill Goes Back to Court

A three-judge appeals court panel heard testimony this week about revoking the FDA’s 22-year-old approval of a key pill used in medication abortion and miscarriage management. The judges all have track records of siding with abortion foes. Meanwhile, as the standoff over raising the federal debt ceiling continues in Washington, a major sticking point is whether to impose work requirements on recipients of Medicaid coverage. Victoria Knight of Axios, Rachel Roubein of The Washington Post, and Sandhya Raman of CQ Roll Call join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more.

AI May Be on Its Way to Your Doctor’s Office, But It’s Not Ready to See Patients

Darius Tahir

Giant corporations like Microsoft and Google, plus many startups, are eyeing health care profits from programs based on artificial intelligence.

Mood-Altering Mushroom Sales Bloom Despite Safety Concerns

Sam Ogozalek, Tampa Bay Times and Oona Zenda

The well-known “Amanita muscaria” mushroom is legal to possess and consume in 49 states. The market for gummies, powders, and capsules containing extracts of the fungus is raising eyebrows, though, amid concerns from the FDA and in the absence of human clinical trials.

Remote Work: An Underestimated Benefit for Family Caregivers

Joanne Kenen

The debate about whether employees should be required to return to the workplace has generally focused on commuting, convenience, and child care. A fourth C, caregiving, has rarely been mentioned.

California’s Fentanyl Problem Is Getting Worse

Don Thompson

State lawmakers have recently been debating whether and how to stiffen punishments for dealers, while Gov. Gavin Newsom is targeting fentanyl trafficking and distributing more naloxone. The problem, experts say, is one with no easy or clear answers.

Mammograms at 40? Breast Cancer Screening Guidelines Spark Fresh Debate

Ronnie Cohen

There is no direct evidence that screening women in their 40s will save lives, yet modeling suggests expanding routine mammography to include them might avert 1.3 deaths per 1,000. Highlighting the risk of false positives, some specialists call for a more personalized approach.

California Confronts Overdose Epidemic Among Former Prison Inmates

Don Thompson

Individuals newly released from prison are 40 times as likely to die of opioid overdoses than members of the general population, researchers say. In response, California corrections officials aim to arm departing inmates with an antidote that can be used to reverse the effects of opioid poisoning.

Are US Prescription Drug Prices 10 Times Those of Other Nations? Only Sometimes

Michelle Andrews

Sen. Bernie Sanders’ broad statement that some U.S. drug prices are 10 times those of other nations doesn’t paint the full picture. Studies we examined generally found that U.S. prices were two to four times those in other countries, not 10.

The Crisis Is Officially Ending, but Covid Confusion Lives On

The public health emergency declaration for covid-19 ends May 11, ushering in major changes in how Americans can access and pay for the vaccines, treatments, and tests particular to the culprit coronavirus. But not everyone will experience the same changes, creating a confusing patchwork of coverage — not unlike health coverage for other diseases. Meanwhile, outside advisers to the FDA formally recommended allowing a birth control pill to be sold without a prescription. If the FDA follows the recommendation, it would represent the first over-the-counter form of hormonal contraception. Margot Sanger-Katz of The New York Times, Tami Luhby of CNN, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KFF Health News’ Julie Rovner to discuss these issues and more. Plus for “extra credit” the panelists suggest health policy stories they read this week they think you should read, too.

A Rural County’s Choice: Use Opioid Funds to Pay Off Debt, or Pay Them Forward to Curb Crisis

Aneri Pattani

Greene County, Tennessee, so far has received more than $2.7 million from regional and national settlements with opioid manufacturers and distributors. But most of the money is not going to help people and families harmed by addiction.

A More Aggressive FTC Is Starting to Target Drug Mergers and Industry Middlemen

Arthur Allen

Industry analysts are skeptical that Federal Trade Commission Chair Lina Khan can win her first fight against a drug industry merger. It will be reviewed by a judge appointed by then-President Donald Trump.

Many People Living in the ‘Diabetes Belt’ Are Plagued With Medical Debt

Robert Benincasa, NPR and Nick McMillan, NPR

The “Diabetes Belt,” as defined by the Centers for Disease Control and Prevention, comprises 644 mostly Southern counties where diabetes rates are high. Of those counties, KFF Health News and NPR found, more than half also have high levels of medical debt.

Una FTC más agresiva persigue las fusiones en la industria farmacéutica y a los intermediarios del sector

Arthur Allen

La Comisión Federal de Comercio está actuando contra las empresas farmacéuticas y los intermediarios del sector, como parte de la campaña de la administración Biden para reducir los precios de los medicamentos en las farmacias.

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