HIV Outbreak Persists as Officials Push Back Against Containment Efforts

Research shows offering clean syringes to people who misuse IV drugs is effective in combating the spread of HIV. But an epidemiologist and advocates say state and local officials in West Virginia, home to one of the worst HIV outbreaks in recent years, have taken measures that render syringe exchange less accessible.

Why Medicaid Expansion Ballots May Hit a Dead End After a Fleeting Victory in South Dakota

Since 2017, Medicaid expansion has been adopted in seven states where a question was placed directly on the ballot. But campaign leaders say that strategy may not work in Florida and Wyoming, where Republican opposition remains strong.

KHN’s ‘What the Health?’: Health Spending? Only Congress Knows

Top negotiators in Congress have agreed to a framework for government spending into next year, but there are details to iron out before a vote — such as the scheduled Medicare payment cuts that have providers worried. Also, the Biden administration reopens its program allowing Americans to request free covid-19 home tests, as hopes for pandemic preparedness measures from Congress dim. Rachel Cohrs of Stat, Alice Miranda Ollstein of Politico, and Rebecca Adams of KHN join KHN’s Mary Agnes Carey to discuss these topics and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

Squeezed by Temp Nurse Costs, Hospital Systems Create Their Own Staffing Agencies

Hospitals have depended on travel nurses to fill shifts, especially during covid surges. Now some larger systems, reeling from high contract labor costs, have created staffing units, aiming to lure nurses who want more work flexibility and better pay than staff RNs get.

States Challenge Biden to Lower Drug Prices by Allowing Imports From Canada

Colorado has joined Florida, New Hampshire, and New Mexico in seeking federal permission to import prescription drugs from Canada. President Joe Biden endorsed the approach in his 2020 campaign but has yet to approve any state plan.

What Germany’s Coal Miners Can Teach America About Medical Debt

Coal mining ended in Germany’s Saarland a decade ago, but the transition away from coal has been smoother than in West Virginia, which has more medical debt than any state in America.

In Rural America, Deadly Costs of Opioids Outweigh the Dollars Tagged to Address Them

Some people say it’s reasonable for densely populated areas to receive more settlement funds, since they serve more of those affected. But others worry this overlooks rural communities disproportionately harmed by opioid addiction.

Hospital Financial Decisions Play a Role in the Critical Shortage of Pediatric Beds for RSV Patients

Yes, the U.S. is experiencing an unusual spate of childhood RSV infections. But the critical shortage of hospital beds to treat ailing children stems from structural problems in pediatric care that have been brewing for years.

More States to Consider Extending Postpartum Medicaid Coverage Beyond Two Months

Fifteen states haven’t moved to extend Medicaid coverage for new moms beyond the minimum of 60 days after birth. But at least four of those holdout states — Montana, Wyoming, Missouri, and Mississippi — are expected to consider proposals to extend coverage in their upcoming legislative sessions.

Much of the CDC Is Working Remotely. That Could Make Changing the Agency Difficult.

Like many U.S. workplaces, the Centers for Disease Control and Prevention went remote during the pandemic. Most of the agency’s staff members haven’t returned to the office full time, raising concerns about the CDC’s ability to reform itself after recent stumbles.

The Business of Clinical Trials Is Booming. Private Equity Has Taken Notice.

Private equity-backed Headlands Research heralded its covid-19 vaccine trials as a chance to boost participation among diverse populations, then it shuttered multiple sites that conducted them.

Racial Disparities in Lung Cancer Start With Research

Improving lung cancer outcomes in Black communities will take more than lowering the screening age, experts say. Disparities are present in everything from the studies that inform when people should get checked to the availability of care in rural areas.