Public Health

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KFF Health News' 'What the Health?': Creating Chaos at HHS

President Donald Trump was sworn in Monday and by Wednesday had virtually stopped scientific policymaking at the Department of Health and Human Services. While incoming administrations often pause public communications, the acting HHS head ordered an unprecedented shutdown of all outside meetings, travel, and publications. Meanwhile, Trump issued a broad array of mostly nonbinding executive orders, but notably none directly concerning abortion. Rachel Cohrs Zhang of Stat, Alice Miranda Ollstein of Politico, and Rachel Roubein of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Rodney Whitlock, a former congressional staffer, who explains the convoluted “budget reconciliation” process Republicans hope to use to enact Trump’s agenda.

Doctors, Nurses Press Ahead as Wildfires Strain Los Angeles’ Health Care

A primary care clinic burned, medical offices closed, and hospitals struggled with possible evacuations. The wildfires that have incinerated large swaths of Los Angeles County are stressing the region’s health care infrastructure. Still, providers continue to find ways to deliver vital care.

Stimulant Users Are Caught in Fatal ‘Fourth Wave’ of Opioid Epidemic

The migration of fentanyl into illicit stimulants such as cocaine is especially dangerous for people who are not regular opioid users. That’s because they have a low tolerance for opioids, putting them at greater risk of an overdose. They also often don’t take precautions — such as not using alone and carrying the opioid reversal medication naloxone — so they’re unprepared if they overdose.