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Opinion: Its long past time for a more comprehensive Covid treatment approach
Opinion: It’s long past time for a more comprehensive Covid treatment approach
https://www.statnews.com/2023/08/31/covid-treatment-approach-beyond-vaccines-antivirals-black-americans-latinos/?utm_campaign=rss
Because Covid cases and hospitalizations are no longer front-page news, many Americans might be surprised to learn that we are in the midst of a mini-surge.
The latest data from the Centers for Disease Control and Prevention, from Aug. 12, confirm a 21.6% increase in Covid-19 hospitalizations from the prior week and a 21.4% increase in Covid-related deaths, demonstrating that Covid is not over and that Latinos and Blacks have reason to be concerned.
Read the rest…
via Health news - STAT coverage of the latest in science and medicine https://www.statnews.com/category/health/
August 31, 2023 at 04:30AM
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Addiction Treatment Act Of 2015
Contents
2000 waiver process
Opioid addiction treatment act.
2012. 11. congressional budget office. cost
Drug rehab center
Joining … struggling
Amends tca title 33; title 53
Addiction Treatment Canada Cocaine Detox Home Remedies Home remedies for beating drug test. Cocaine/COC Detox Kits are made from all natural ingredients. They contain a unique combination of vitamins, minerals, and herbal cleansers that produce successful results when put to the test by people just like you every day. home detox also prepares the client for the treatment
The Affordable Care Act gives millions of new Americans access to addiction treatment. These statistics from the Medicaid government website outline federal poverty levels in 2015 Who Accepts Affordable Care Act Plans? Many addiction treatment centers accept Health Insurance Marketplace…
Board of Directors (as of December 2015). Copyright …… provided through the 2000 Drug Addiction Treatment Act (DATA), has allowed physicians to prescribe …
which includes information on the Drug Addiction Treatment Act of 2000 waiver process and patient limits Clinical support tools such as treatment guidelines, ICD-10 coding, continuing education opport…
Budgeting for opioid addiction treatment act. This bill amends the Internal Revenue Code to impose a one cent per milligram excise tax on the sale of active …
QUINCY – The Norfolk and Plymouth County sheriff’s departments aren’t getting a share of fresh federal addiction-treatment money for inmates … state got from the federal 21st Century Cures Act of 20…
The Drug Addiction Treatment Act of 2000 (DATA 2000), Title XXXV, Section 3502 of the Children's Health Act, permits physicians who meet certain qualifications to treat opioid addiction with Schedule III, IV…
based private clinic that specializes in addiction recovery services. A year ago, she discovered that many of her clients were driving several hours to get there. So she had an idea: Take the treatmen…
Development of an exposure- and ACT-based distress tolerance treatment for early lapse smokers: Rationale, program description, and preliminary findings. A New Measure of Self-Stigma in Addiction: Measure Development and Psychometrics. Journal of Psychopathology and Behavioral…
Following a market conduct examination of the practices and procedures of Aetna, covering January 2015 through March 2016 … The federal Mental Health Parity and Addiction Equity Act of 2008 requires …
Jan 18, 2018 … Drug Addiction Treatment Act of 2000 (DATA 2000) … The Federal Guidelines for Opioid Treatment Programs – 2015 serve as a guide to …
Introduced in House (05/21/2015). Recovery Enhancement for Addiction Treatment Act or the TREAT Act. Amends the Controlled Substances Act to increase the …
Aug 28, 2015 … The "Addiction Treatment Act of 2015" hopes to slash high prescribing numbers and curb abuse. When News Channel 11 spoke with area …
Recovery Enhancement for Addiction Treatment Act or the TREAT Act. (Sec. 2) This bill amends the Controlled Substances Act to revise the requirements for a …
The Narcotic Addict Treatment Act of 1974 then allowed physicians to treat opioid addicts with methadone in federal and state licensed facilities only. Let us see how DATA2000 weighs in on America's long history of opioid abuse and addiction.
said this marks a “significant change” to Department of Corrections policy since Act 176, which took effect July 1, ordered the expansion of prison-based treatment for opioid addiction. “What has chan…
Cosmetic Act for emergency treatment of known or suspected. opioid overdose. “ (2) To train and provide resources for health care. providers and pharmacists on the prescribing of drugs or devices. approved or cleared under the Federal Food, Drug, and Cosmetic. Act for emergency treatment of…
Glossary of over 200 top addiction-related words defined | The verified reference for addressing the stigmatizing terminology of substance use disorder. Acceptance and Commitment Therapy (ACT; pronounced like the word "act") is a cognitive-behavioral approach used in the treatment of…
… Overdose Stat Act of 2015 H.R.2872-Opioid Addiction Treatment Modernization Act … and Treatment Act of 2015 S.1455-Recovery Enhancement for Addiction …
Act on Addiction aim to make finding and getting treatment for drug and alcohol abuse easier. We have 50,000+ facilities listed across the United States that offer a range of services such as Rehab Drug addiction and Alcohol addiction has devistating impacts on those suffering along.
Addiction Treatment Access Improvement Act – H.R. 3692. Sponsors: Rep. … Control, an astonishing 21 percent increase from 2015. Despite the passage of the …
Can addiction be treated successfully? Yes, addiction is a treatable disorder. Research on the science of addiction and the treatment of substance use disorders has led to the development of research-based methods that Treatment and Recovery. Can addiction be treated successfully?
But in the throes of an opioid epidemic that killed more than 33,000 people in 2015 … treatment, yet only one in 10 receive it. Because loss of income is a symptom of addiction, inability to pay is …
Laws acquire popular names as they make their way through Congress. Sometimes these names say something about the substance of the law (as with the '2002 Winter Olympic Commemorative Coin Act'). Sometimes they are a way of recognizing or honoring the sponsor or creator of a particular law…
In 2015 … of drug addiction treatment: A research-based guide. 3rd ed. Bethesda (MD): National Institute on Drug Abuse, National Institutes of Health; 2012. 11. congressional budget office. cost est…
He said he supports the New York Health Act, which would create a single-payer fund statewide … Andrew Cuomo announced $10 million in capital funding Tuesday to expand addiction treatment services, …
The outgoing governor’s two terms nearly dovetailed with the rollout of the Affordable Care Act, the federal health care law …
Dual Diagnosis Treatment Northern California Addiction Treatment Dallas Texas Quality, effective state of the art addiction and drug rehab treatment center located in the Dallas, Texas area. Call now. Take action and call (972) 848-0221 or fill out this form to speak with a Treatment Consultant about our Dallas drug rehab center or one of our facilities across the United…
desperately needed funds to support community-based addiction treatment. … COMPREHENSIVE ADDICTION AND RECOVERY ACT OF 2015 (S. 524/H.R. …
In 2016, the most recent year with data, 63,600 people died from drug-related causes, a 21 percent increase from 2015. More recent … of medications to treat addiction, removing barriers to funding i…
Brief Summary of Provisions of CARA. Expand prevention and educational efforts—particularly aimed at teens, parents and other caretakers, and aging Sec. 303 – Medication-Assisted Treatment for Recovery from Addiction : This section amends the Controlled Substances Act to, under certain…
“Qualifying Physician” (MD certified in Addiction Medicine by … Treatment modalities for buprenorphine/naloxone: ….. Drug Addiction Treatment Act of 2000 .
ADVERTISEMENT The bottom line — breaking down barriers to opioid addiction treatment that works will save lives and money. And the president, who knows what it is like to lose someone close to him to …
On May 14, 2015, Altarum Institute hosted a policy roundtable on community-based solutions to addiction in the United States. The sustained efforts of recovery advocates in the forties, fifties, and sixties culminated in passage of the Comprehensive Alcoholism Prevention and Treatment Act of…
Lamar Alexander to introduce the Opioid Crisis Response Act of 2018 on Tuesday … and has faced some tough criticisms. We are not addiction specialists and would never claim to know more than physici…
… Treatments. July 2, 2015 | Opioid and Heroin Epidemic | Comments … The bill, the Opioid Addiction Treatment Modernization Act, was introduced by Rep.
The FDA approved methadone for addiction treatment in 1972. … was the first drug to be prescribed under the Drug Addiction Treatment Act of 2000 (DATA 2000), ….. Vital signs: changes in opioid prescribing in the United States, 2006– 2015.
The Recovery Enhancement for Addiction Treatment Act (TREAT Act). Senator Edward J. Markey (D-Mass.) Overdoses from opioids, including prescription pain …
SOUTH SAN FRANCISCO, CA–(Marketwired – Aug 31, 2015) – Titan Pharmaceuticals … been sanctioned to a limited number of facilities in the U.S. The Drug Addiction Treatment Act of 2000 (DATA 2000) all…
When Ashley Hurteau, 32, was arrested in 2015 … the number of substance treatment services available in each state in 2014. They analyzed coverage for the four tiers of services recognized by the Am…
Act addictions on WN Network delivers the latest Videos and Editable pages for News & Events, including Entertainment, Music, Sports, Science The party is led by Flavio Tosi, mayor of Verona and former leader of Liga Veneta-Lega Nord, who was ejected from it in the run-up of the 2015 Venetian…
She took action after losing her brother Matt to an overdose in 2015 by joining … struggling with opioid addiction, as well as their access to recovery services. Last year, Baker filed the CARE Act, …
The Comprehensive Addiction and Recovery Act (CARA) was signed into law by President … Introduced in the Senate as S. 524 by Sheldon Whitehouse (D–RI) on February 12, 2015; Committee consideration by Senate Judiciary; Passed the … Retrieved from http://bit.ly/2CjlXDf – …
• the action of solving a problem; the act of resolving. • a firm decision or determination; an intention. We offer a continuum of care, including day treatment/partial hospitalization (PHP), intensive RESOLUTIONS specialiazes in the treatment of mental health, addiction, trauma, and co-occurring…
The program is part of HRSA’s ongoing efforts to increase evidence-based treatment of substance-use disorders, particularly opioid addiction, in rural and underserved … of the 2018 Consolidated Appr…
4 This Act may be cited as the ''Addiction Treatment 5 Quality Improvement Act of 2018''. GOE18786 S.L.C. 2 1 sec. 2. improving quality measurement and devel-. 2 opment related to the treatment of. 3 opioid and substance use disorders.
TN – SB871. Drug and Alcohol Rehabilitation – As enacted, enacts the "Addiction Treatment Act of 2015." – amends tca title 33; title 53; Title 56 and Title 63.
Sep 9, 2015 … The Addiction Treatment Act of 2015 limits doctors' ability to prescribe the semi- synthetic opioid maintenance drug, including limits on dosages.
Määratlus inglise keeles: Drug Addiction Treatment Act of 2000.
While he is motivated to stay clean, there are very few addiction treatment program beds available … Each day that we wait for the government to act, patients are at increased risk for homelessness, …
Affordable Care Act. Drug Addiction Treatment Act. Anyone in the United States who watched television in the 1980s may recall an adorable cartoon paper man bouncing up and down the stairs of the capitol building and explaining to children how a bill becomes a law.[1] The song, etched into the…
Cocaine Detox Home Remedies Home remedies for beating drug test. Cocaine/COC Detox Kits are made from all natural ingredients. They contain a unique combination of vitamins, minerals, and herbal cleansers that produce successful results when put to the test by people just like you every day. home detox also prepares the client for the treatment phase of recovery, including
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Must-Reads Of The Week From Brianna Labuskes
The Friday Breeze
Newsletter editor Brianna Labuskes, who reads everything on health care to compile our daily Morning Briefing, offers the best and most provocative stories for the weekend.
Happy Friday! Is anyone still having an existential crisis over the now-viral tweet about what kind of inner monologue you have? And the fact that some people’s inner voice comes in images instead of words? Did you stare off into space for a while trying valiantly not to lose your grip on this fragile thing called reality? You are not alone!
All right, enough introspection, on to what you may have missed this week.
What’s in a name? Well for block grants … quite a bit of baggage. That’s why when the Trump administration sent letters this week to states to encourage them to transform their Medicaid programs into block-grant funding, it unveiled a fancy new title for the program. Wait for it … “The Healthy Adult Opportunity” program. Not the catchiest title, but certainly on brand for CMS Administrator Seema Verma’s messaging.
Email Sign-Up
Subscribe to KHN’s free Morning Briefing.
Sign Up
Please confirm your email address below:
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Why shy away from “block grant” terminology? Because the policy’s history is rife with partisan controversy and rhetoric that the administration seems to want to distance itself from. Conservatives have been champing at this particular bit for years, but critics say block grants are illegal and will lead to coverage losses. There isn’t a question of if there will be a court challenge, but rather of how soon it will come.
The New York Times: Trump Administration Unveils a Major Shift in Medicaid
Politico: ‘Block Grants’ No More: Trump’s Medicaid Overhaul Has New Name, Same Goals
The Friday Breeze
Want a roundup of the must-read stories this week chosen by KHN Newsletter Editor Brianna Labuskes? Sign up for The Friday Breeze today.
Sign Up
Please confirm your email address below:
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Now for the section that I think will become a mainstay for at least a few weeks, judging by the daily deluge of stories: the coronavirus roundup file! (I also wish I had a catchier name for that, so I guess I shouldn’t throw rocks at CMS’ glass houses. The coronavirus checkup, perhaps?)
Anyway here are your highlights, while emphasizing — for not the first or last time probably — that there is quite a low risk of contracting the virus for Americans at the moment.
— The U.S. has reported its first person-to-person transmission, but it was a husband getting it from his wife, who had just come back from the epicenter of the outbreaks. Officials continue to reiterate that this shouldn’t cause any panic.
The Associated Press: US Reports 1st Case of Person-to-Person Spread of New Virus
— As the number of cases worldwide surges toward the 10,000 mark, WHO has officially declared the outbreak a “public health emergency” while being extra clear that this is not a “no confidence” vote in China’s ability to contain it.
Los Angeles Times: Coronavirus Outbreak Is Now a ‘Public Health Emergency,’ WHO Says
— Do the numbers sound somewhat terrifying? Experts say it’s still too early to be doing the math on mortality rates — in pandemics, the early cases are often the most severe and skew the numbers.
Stat: Limited Data May Be Skewing Assumptions About Severity of Coronavirus Outbreak, Experts Say
— Who gets the oh-so-lucky honor of becoming the face of the crisis response in the states? That would be HHS Secretary Alex Azar (yes, the same Alex Azar who recently has been the source of some unpleasant gossip about the Trump administration).
Politico: Trump Sticks Embattled Health Chief With Coronavirus Response
— When the science is fast, but the virus is faster, a vaccine can be out of reach.
The Washington Post: Coronavirus Vaccine Research Is Moving at Record Speed
— China has invested billions into becoming a world leader in medicine. Is this outbreak a reality check?
The Wall Street Journal: China’s Vast Ambition in Medicine Gets Reality Check From Coronavirus
— Experts warn about a dangerous symptom of the coronavirus: xenophobia.
NBC News: As Coronavirus Spreads, So Does Concern Over Xenophobia
— And step away from that Amazon order for surgical masks. Not only will they not do much for you, but the surge in orders is creating a shortage for the medical professionals they actually will help.
The New York Times: Face Mask Hoarders May Raise Risk of Coronavirus Outbreak in the U.S.
The Supreme Court gave the green light to a Trump administration policy change that would allow government officials to take into consideration a green-card applicant’s use of federal safety-net programs such as Medicaid and food stamps. In the past, only substantial and sustained monetary help or long-term institutionalization counted.
The New York Times: Supreme Court Allows Trump’s Wealth Test for Green Cards
One of my favorite headlines of the week comes from this Stat story on the election and drug prices: “It’s the insulin, stupid.”
While “health care is complicated” has become a go-to one-liner for many of us wonks in recent years, Stat looks at why, when it comes to insulin, it’s just not. The drug is common, old and was previously cheap before an obesity epidemic provided an opportunity for pharma to jack up the prices. The stories that come out of that greed are devastating and plentiful.
The picture critics can paint is a fairly clear one that’s easy to understand. That may be why 2020 Democratic candidates are using it as a rallying cry.
Stat: It’s the Insulin, Stupid: How Drug Pricing’s Simplest Case Study Became a Top Issue for 2020 Democrats
“I am a danger to the public,” is not really something you want to hear from a pharmacist. But some of them are speaking out now about how chaotic workspaces and chronic understaffing are creating a breeding ground for disastrous mistakes.
The New York Times: How Chaos at Chain Pharmacies Is Putting Patients at Risk
A $145 million settlement between the government and a health technology company flew a bit under the radar this week, but it was the first of its kind. San Francisco-based Practice Fusion took kickbacks from an unnamed drugmaker (which was unmasked later as Purdue Pharma) to create an alert within its electronic health records system to encourage doctors to prescribe more opioids.
The Associated Press: US Attorney Announces $145M Settlement in Opioid Case
In a rare bit of good news, Americans’ life expectancy rose for the first time in four years as cancer and overdose deaths dipped slightly. While public health experts said the numbers were “encouraging,” they weren’t celebrating quite yet since the increase was so small.
The Associated Press: For 1st Time in 4 Years, US Life Expectancy Rises — a Little
A prominent Harvard scientist was arrested this week over accusations that he lied about his ties to China. Charles M. Lieber was apparently making $50,000 a month through his participation in the “Thousand Talents” program in, coincidentally, Wuhan, China. The arrest is just the latest in a crackdown on U.S. research being shared with China.
The New York Times: U.S. Accuses Harvard Scientist of Concealing Chinese Funding
In the miscellaneous file for the week:
— Uh, just in case anyone was confused, Purell can’t protect someone from Ebola. And now the FDA is officially telling the company it can’t say that it does.
The Washington Post: FDA Warns Purell Over False Claims It Can Eliminate Ebola, MRSA and Flu
— A harsh spotlight shone on the Hippocratic oath this week when testimony about Guantanamo Bay touched on the role of doctors in the facilities and interrogations.
The New York Times: Guantanamo Testimony Exposes Role of Doctors in C.I.A. Interrogations
— Wilderness therapy is a hot trend to help troubled teens whose families have run out of other options. But what does the science say about it?
Undark: Does Science Support the ‘Wilderness’ in Wilderness Therapy?
— Monday marked the 75th anniversary of the liberation of the Auschwitz concentration camp. The ceremony was somber amid the global upswing in anti-Semitism and dehumanizing political rhetoric that undermines the once-unshakable promise of “never again.”
The New York Times: 75 Years After Auschwitz Liberation, Worry That ‘Never Again’ Is Not Assured
That’s it from me! Have a great weekend.
Must-Reads Of The Week From Brianna Labuskes published first on https://nootropicspowdersupplier.tumblr.com/
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Text
Must-Reads Of The Week From Brianna Labuskes
The Friday Breeze
Newsletter editor Brianna Labuskes, who reads everything on health care to compile our daily Morning Briefing, offers the best and most provocative stories for the weekend.
Happy Friday! Is anyone still having an existential crisis over the now-viral tweet about what kind of inner monologue you have? And the fact that some people’s inner voice comes in images instead of words? Did you stare off into space for a while trying valiantly not to lose your grip on this fragile thing called reality? You are not alone!
All right, enough introspection, on to what you may have missed this week.
What’s in a name? Well for block grants … quite a bit of baggage. That’s why when the Trump administration sent letters this week to states to encourage them to transform their Medicaid programs into block-grant funding, it unveiled a fancy new title for the program. Wait for it … “The Healthy Adult Opportunity” program. Not the catchiest title, but certainly on brand for CMS Administrator Seema Verma’s messaging.
Email Sign-Up
Subscribe to KHN’s free Morning Briefing.
Sign Up
Please confirm your email address below:
Sign Up
Why shy away from “block grant” terminology? Because the policy’s history is rife with partisan controversy and rhetoric that the administration seems to want to distance itself from. Conservatives have been champing at this particular bit for years, but critics say block grants are illegal and will lead to coverage losses. There isn’t a question of if there will be a court challenge, but rather of how soon it will come.
The New York Times: Trump Administration Unveils a Major Shift in Medicaid
Politico: ‘Block Grants’ No More: Trump’s Medicaid Overhaul Has New Name, Same Goals
The Friday Breeze
Want a roundup of the must-read stories this week chosen by KHN Newsletter Editor Brianna Labuskes? Sign up for The Friday Breeze today.
Sign Up
Please confirm your email address below:
Sign Up
Now for the section that I think will become a mainstay for at least a few weeks, judging by the daily deluge of stories: the coronavirus roundup file! (I also wish I had a catchier name for that, so I guess I shouldn’t throw rocks at CMS’ glass houses. The coronavirus checkup, perhaps?)
Anyway here are your highlights, while emphasizing — for not the first or last time probably — that there is quite a low risk of contracting the virus for Americans at the moment.
— The U.S. has reported its first person-to-person transmission, but it was a husband getting it from his wife, who had just come back from the epicenter of the outbreaks. Officials continue to reiterate that this shouldn’t cause any panic.
The Associated Press: US Reports 1st Case of Person-to-Person Spread of New Virus
— As the number of cases worldwide surges toward the 10,000 mark, WHO has officially declared the outbreak a “public health emergency” while being extra clear that this is not a “no confidence” vote in China’s ability to contain it.
Los Angeles Times: Coronavirus Outbreak Is Now a ‘Public Health Emergency,’ WHO Says
— Do the numbers sound somewhat terrifying? Experts say it’s still too early to be doing the math on mortality rates — in pandemics, the early cases are often the most severe and skew the numbers.
Stat: Limited Data May Be Skewing Assumptions About Severity of Coronavirus Outbreak, Experts Say
— Who gets the oh-so-lucky honor of becoming the face of the crisis response in the states? That would be HHS Secretary Alex Azar (yes, the same Alex Azar who recently has been the source of some unpleasant gossip about the Trump administration).
Politico: Trump Sticks Embattled Health Chief With Coronavirus Response
— When the science is fast, but the virus is faster, a vaccine can be out of reach.
The Washington Post: Coronavirus Vaccine Research Is Moving at Record Speed
— China has invested billions into becoming a world leader in medicine. Is this outbreak a reality check?
The Wall Street Journal: China’s Vast Ambition in Medicine Gets Reality Check From Coronavirus
— Experts warn about a dangerous symptom of the coronavirus: xenophobia.
NBC News: As Coronavirus Spreads, So Does Concern Over Xenophobia
— And step away from that Amazon order for surgical masks. Not only will they not do much for you, but the surge in orders is creating a shortage for the medical professionals they actually will help.
The New York Times: Face Mask Hoarders May Raise Risk of Coronavirus Outbreak in the U.S.
The Supreme Court gave the green light to a Trump administration policy change that would allow government officials to take into consideration a green-card applicant’s use of federal safety-net programs such as Medicaid and food stamps. In the past, only substantial and sustained monetary help or long-term institutionalization counted.
The New York Times: Supreme Court Allows Trump’s Wealth Test for Green Cards
One of my favorite headlines of the week comes from this Stat story on the election and drug prices: “It’s the insulin, stupid.”
While “health care is complicated” has become a go-to one-liner for many of us wonks in recent years, Stat looks at why, when it comes to insulin, it’s just not. The drug is common, old and was previously cheap before an obesity epidemic provided an opportunity for pharma to jack up the prices. The stories that come out of that greed are devastating and plentiful.
The picture critics can paint is a fairly clear one that’s easy to understand. That may be why 2020 Democratic candidates are using it as a rallying cry.
Stat: It’s the Insulin, Stupid: How Drug Pricing’s Simplest Case Study Became a Top Issue for 2020 Democrats
“I am a danger to the public,” is not really something you want to hear from a pharmacist. But some of them are speaking out now about how chaotic workspaces and chronic understaffing are creating a breeding ground for disastrous mistakes.
The New York Times: How Chaos at Chain Pharmacies Is Putting Patients at Risk
A $145 million settlement between the government and a health technology company flew a bit under the radar this week, but it was the first of its kind. San Francisco-based Practice Fusion took kickbacks from an unnamed drugmaker (which was unmasked later as Purdue Pharma) to create an alert within its electronic health records system to encourage doctors to prescribe more opioids.
The Associated Press: US Attorney Announces $145M Settlement in Opioid Case
In a rare bit of good news, Americans’ life expectancy rose for the first time in four years as cancer and overdose deaths dipped slightly. While public health experts said the numbers were “encouraging,” they weren’t celebrating quite yet since the increase was so small.
The Associated Press: For 1st Time in 4 Years, US Life Expectancy Rises — a Little
A prominent Harvard scientist was arrested this week over accusations that he lied about his ties to China. Charles M. Lieber was apparently making $50,000 a month through his participation in the “Thousand Talents” program in, coincidentally, Wuhan, China. The arrest is just the latest in a crackdown on U.S. research being shared with China.
The New York Times: U.S. Accuses Harvard Scientist of Concealing Chinese Funding
In the miscellaneous file for the week:
— Uh, just in case anyone was confused, Purell can’t protect someone from Ebola. And now the FDA is officially telling the company it can’t say that it does.
The Washington Post: FDA Warns Purell Over False Claims It Can Eliminate Ebola, MRSA and Flu
— A harsh spotlight shone on the Hippocratic oath this week when testimony about Guantanamo Bay touched on the role of doctors in the facilities and interrogations.
The New York Times: Guantanamo Testimony Exposes Role of Doctors in C.I.A. Interrogations
— Wilderness therapy is a hot trend to help troubled teens whose families have run out of other options. But what does the science say about it?
Undark: Does Science Support the ‘Wilderness’ in Wilderness Therapy?
— Monday marked the 75th anniversary of the liberation of the Auschwitz concentration camp. The ceremony was somber amid the global upswing in anti-Semitism and dehumanizing political rhetoric that undermines the once-unshakable promise of “never again.”
The New York Times: 75 Years After Auschwitz Liberation, Worry That ‘Never Again’ Is Not Assured
That’s it from me! Have a great weekend.
from Updates By Dina https://khn.org/news/friday-breeze-health-care-policy-must-reads-of-the-week-from-brianna-labuskes-january-31-2020/
0 notes
Text
Must-Reads Of The Week From Brianna Labuskes
The Friday Breeze
Newsletter editor Brianna Labuskes, who reads everything on health care to compile our daily Morning Briefing, offers the best and most provocative stories for the weekend.
Happy Friday! Is anyone still having an existential crisis over the now-viral tweet about what kind of inner monologue you have? And the fact that some people’s inner voice comes in images instead of words? Did you stare off into space for a while trying valiantly not to lose your grip on this fragile thing called reality? You are not alone!
All right, enough introspection, on to what you may have missed this week.
What’s in a name? Well for block grants … quite a bit of baggage. That’s why when the Trump administration sent letters this week to states to encourage them to transform their Medicaid programs into block-grant funding, it unveiled a fancy new title for the program. Wait for it … “The Healthy Adult Opportunity” program. Not the catchiest title, but certainly on brand for CMS Administrator Seema Verma’s messaging.
Email Sign-Up
Subscribe to KHN’s free Morning Briefing.
Sign Up
Please confirm your email address below:
Sign Up
Why shy away from “block grant” terminology? Because the policy’s history is rife with partisan controversy and rhetoric that the administration seems to want to distance itself from. Conservatives have been champing at this particular bit for years, but critics say block grants are illegal and will lead to coverage losses. There isn’t a question of if there will be a court challenge, but rather of how soon it will come.
The New York Times: Trump Administration Unveils a Major Shift in Medicaid
Politico: ‘Block Grants’ No More: Trump’s Medicaid Overhaul Has New Name, Same Goals
The Friday Breeze
Want a roundup of the must-read stories this week chosen by KHN Newsletter Editor Brianna Labuskes? Sign up for The Friday Breeze today.
Sign Up
Please confirm your email address below:
Sign Up
Now for the section that I think will become a mainstay for at least a few weeks, judging by the daily deluge of stories: the coronavirus roundup file! (I also wish I had a catchier name for that, so I guess I shouldn’t throw rocks at CMS’ glass houses. The coronavirus checkup, perhaps?)
Anyway here are your highlights, while emphasizing — for not the first or last time probably — that there is quite a low risk of contracting the virus for Americans at the moment.
— The U.S. has reported its first person-to-person transmission, but it was a husband getting it from his wife, who had just come back from the epicenter of the outbreaks. Officials continue to reiterate that this shouldn’t cause any panic.
The Associated Press: US Reports 1st Case of Person-to-Person Spread of New Virus
— As the number of cases worldwide surges toward the 10,000 mark, WHO has officially declared the outbreak a “public health emergency” while being extra clear that this is not a “no confidence” vote in China’s ability to contain it.
Los Angeles Times: Coronavirus Outbreak Is Now a ‘Public Health Emergency,’ WHO Says
— Do the numbers sound somewhat terrifying? Experts say it’s still too early to be doing the math on mortality rates — in pandemics, the early cases are often the most severe and skew the numbers.
Stat: Limited Data May Be Skewing Assumptions About Severity of Coronavirus Outbreak, Experts Say
— Who gets the oh-so-lucky honor of becoming the face of the crisis response in the states? That would be HHS Secretary Alex Azar (yes, the same Alex Azar who recently has been the source of some unpleasant gossip about the Trump administration).
Politico: Trump Sticks Embattled Health Chief With Coronavirus Response
— When the science is fast, but the virus is faster, a vaccine can be out of reach.
The Washington Post: Coronavirus Vaccine Research Is Moving at Record Speed
— China has invested billions into becoming a world leader in medicine. Is this outbreak a reality check?
The Wall Street Journal: China’s Vast Ambition in Medicine Gets Reality Check From Coronavirus
— Experts warn about a dangerous symptom of the coronavirus: xenophobia.
NBC News: As Coronavirus Spreads, So Does Concern Over Xenophobia
— And step away from that Amazon order for surgical masks. Not only will they not do much for you, but the surge in orders is creating a shortage for the medical professionals they actually will help.
The New York Times: Face Mask Hoarders May Raise Risk of Coronavirus Outbreak in the U.S.
The Supreme Court gave the green light to a Trump administration policy change that would allow government officials to take into consideration a green-card applicant’s use of federal safety-net programs such as Medicaid and food stamps. In the past, only substantial and sustained monetary help or long-term institutionalization counted.
The New York Times: Supreme Court Allows Trump’s Wealth Test for Green Cards
One of my favorite headlines of the week comes from this Stat story on the election and drug prices: “It’s the insulin, stupid.”
While “health care is complicated” has become a go-to one-liner for many of us wonks in recent years, Stat looks at why, when it comes to insulin, it’s just not. The drug is common, old and was previously cheap before an obesity epidemic provided an opportunity for pharma to jack up the prices. The stories that come out of that greed are devastating and plentiful.
The picture critics can paint is a fairly clear one that’s easy to understand. That may be why 2020 Democratic candidates are using it as a rallying cry.
Stat: It’s the Insulin, Stupid: How Drug Pricing’s Simplest Case Study Became a Top Issue for 2020 Democrats
“I am a danger to the public,” is not really something you want to hear from a pharmacist. But some of them are speaking out now about how chaotic workspaces and chronic understaffing are creating a breeding ground for disastrous mistakes.
The New York Times: How Chaos at Chain Pharmacies Is Putting Patients at Risk
A $145 million settlement between the government and a health technology company flew a bit under the radar this week, but it was the first of its kind. San Francisco-based Practice Fusion took kickbacks from an unnamed drugmaker (which was unmasked later as Purdue Pharma) to create an alert within its electronic health records system to encourage doctors to prescribe more opioids.
The Associated Press: US Attorney Announces $145M Settlement in Opioid Case
In a rare bit of good news, Americans’ life expectancy rose for the first time in four years as cancer and overdose deaths dipped slightly. While public health experts said the numbers were “encouraging,” they weren’t celebrating quite yet since the increase was so small.
The Associated Press: For 1st Time in 4 Years, US Life Expectancy Rises — a Little
A prominent Harvard scientist was arrested this week over accusations that he lied about his ties to China. Charles M. Lieber was apparently making $50,000 a month through his participation in the “Thousand Talents” program in, coincidentally, Wuhan, China. The arrest is just the latest in a crackdown on U.S. research being shared with China.
The New York Times: U.S. Accuses Harvard Scientist of Concealing Chinese Funding
In the miscellaneous file for the week:
— Uh, just in case anyone was confused, Purell can’t protect someone from Ebola. And now the FDA is officially telling the company it can’t say that it does.
The Washington Post: FDA Warns Purell Over False Claims It Can Eliminate Ebola, MRSA and Flu
— A harsh spotlight shone on the Hippocratic oath this week when testimony about Guantanamo Bay touched on the role of doctors in the facilities and interrogations.
The New York Times: Guantanamo Testimony Exposes Role of Doctors in C.I.A. Interrogations
— Wilderness therapy is a hot trend to help troubled teens whose families have run out of other options. But what does the science say about it?
Undark: Does Science Support the ‘Wilderness’ in Wilderness Therapy?
— Monday marked the 75th anniversary of the liberation of the Auschwitz concentration camp. The ceremony was somber amid the global upswing in anti-Semitism and dehumanizing political rhetoric that undermines the once-unshakable promise of “never again.”
The New York Times: 75 Years After Auschwitz Liberation, Worry That ‘Never Again’ Is Not Assured
That’s it from me! Have a great weekend.
Must-Reads Of The Week From Brianna Labuskes published first on https://smartdrinkingweb.weebly.com/
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The real missed opportunity in Price’s limp vaccine endorsement.
Health and Human Services Secretary Tom Price was criticized this week for his seemingly limp enthusiasm about vaccines.
In an interview on CNN, Price was asked whether immunizations should be required for all Americans.
His response boiled down to: It’s up to states to enforce vaccine standards. “It’s a perfectly appropriate role for the government — this happens by and large at the state government, by the way, because they are the ones that have the public health responsibility — to determine whether or not immunizations are required for a community population,” he said.
HHS Secretary Tom Price says it should be up to states to regulate whether immunizations are required https://t.co/3QWUK3oy0W
— CNN (@CNN) March 16, 2017
Some read this “less-than-rousing endorsement of mandatory immunization” as an “opening signal to the anti-vaccine movement.”
In truth, Price was just describing the status quo. Vaccinations do fall under the public health jurisdiction of the states. It’s up to them to set laws around who gets what shots when, and what kinds of exemptions are allowed.
Sure, Price could have been more forceful in underscoring the scientific consensus that universal vaccine coverage is ideal — especially at a time when the anti-vaccine movement seems to be emboldened under a president who’s been doubtful of vaccine safety. But the real missed opportunity here was to point out that states should be doing a much better job on vaccines. Some have loosened their standards over the years — and it’s helped spark a resurgence of preventable diseases.
The states that don’t have tough vaccine requirements see more people opting out of their shots
Several measles outbreaks in the 1960s spurred a push to have states require children get inoculated before starting school. By the 1980s, all states had mandatory immunization laws in place.
The idea behind these laws was simple: Near-universal vaccinations sustain what’s called “herd immunity.” For any vaccine to be effective and prevent outbreaks, a certain (high) percentage of people in a population need to be immunized. This keeps diseases from spreading easily, and keeps vulnerable groups that can't be vaccinated (such as very young babies or people with allergies to vaccines) protected.
But there’s a lot of variation across the country when it comes to immunization requirements. As of August 2016, all 50 states have legislation requiring vaccines for students — but almost every state allows exemptions for people with religious beliefs against immunizations, and 18 states grant philosophical exemptions for those opposed to vaccines because of personal or moral beliefs. (The exceptions are Mississippi, California, and West Virginia, which have the strictest vaccine laws in the nation, allowing no philosophical or religious exemptions.)
It turns out the parts of the country that make it easier for people to opt out of their shots tend to have higher rates of exemptions. In one paper, states that allowed parents to refuse vaccines for philosophical or personal reasons had exemption rates that were 2.54 times as high as states that only permitted religious exemptions. Another older study, looking at data between 1991 and 2004, found an increase in exemption rates only in states that allowed philosophical exemptions.
This 2009 New England Journal of Medicine paper, from Emory’s Saad Omer, is also instructive. Omer looked at the state-level rates of nonmedical exemptions. He finds that between 1991 and 2004, those rates increased from less than 0.98 percent to about 1.5 percent. Again, this uptick was not spread evenly across the US, and even varied within states.
New England Journal of Medicine
Rates of Exemption From Vaccination for Nonmedical Reasons in Washington Counties, 2006–2007.
Generally, though, states that allowed only religious exemptions had a steady opt-out rate of about 1 percent during the period (1991 to 2004). But in states that were more lax — allowing philosophical or personal belief exemptions as well as religious and medical exemptions — the mean exemption rate increased from 0.99 to 2.54 percent.
In another state-specific analysis, Baylor’s Peter Hotez looked at the rate of nonmedical exemptions over the past 13 years in his home state of Texas. He found that in 2016, there were almost 45,000 children who refused vaccines — about double the number of exemptions in 2010 and a 19-fold increase compared with 2003:
PLoS One
Personal belief exemptions in Texas: K–12th grade students with nonmedical exemptions, Texas, 2003–2016.
Texas is one of the states that allow parents to get both religious and philosophical vaccine exemptions.
Over time, the volume of people seeking exemptions has slowly crept upward across the US. Leah Samuel of Stat News crunched the latest Centers for Disease Control and Prevention data on nonmedical exemptions from 2009 to 2016 (her numbers, however, weren’t peer-reviewed, like some of the other studies I’ll describe next). She found that the number of people seeking exemptions was greater in 2016 than at any other point since 2009 in 11 states: Connecticut, Florida, Iowa, Kentucky, Maryland, New York, North Carolina, North Dakota, Ohio, Oklahoma, and Virginia. She also found the national average for nonmedical exemptions was down in 2016 from a 2009 spike — a fact she attributes to California and Vermont’s 2015 cancellation of their personal belief exemptions. So when states take a strong stance against exemptions, it can help tamp down the number of people who opt out.
States should pushback on vaccine exemptions
So we know that when state governments make it easier for parents to opt out of vaccines with different exemption provisions, they’re more likely to exercise that right.
We also know those exemptions are linked to upticks in preventable diseases. Measles and whooping cough, two infectious diseases US public health officials had gotten pretty good at preventing, have made a disturbing comeback in recent years, and researchers have found the outbreaks are closely tied to vaccine refusers.
So there’s a lot of room for improvement at the level of the states to toughen up on their vaccine requirements.
This 2014 JAMA paper offers a ray of hope. The researchers found that between 2009 and 2012, states considered 36 bills related to vaccine exemptions: 31 wanted to expand them, making it easier to opt out of vaccines, while only five wanted to make vaccine exemptions more difficult to obtain. None of the 31 anti-vaccine bills passed, while three of the five bills clamping down on vaccine deniers made it, which suggests that while there was more activity from the anti-vaccine side, public health won out in state legislatures. More states should go further, following the lead of Mississippi, California, and West Virginia by disallowing religious and philosophical exemptions.
via Vox - All
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How a conservative gun-toting doctor defended abortion access in Appalachia
How a conservative, gun-toting doctor defended abortion access in Appalachia
https://www.statnews.com/2023/09/06/wes-adams-abortion-access-appalachia/?utm_campaign=rss
BRISTOL, Va. — When Wes Adams’ youngest son was little, he’d sometimes toddle over to the TV, pop in a cassette, and watch himself being born. It was a home video, filmed by his older brother. There was his mother, her belly anesthetized but her head very much awake, asking the doctors to keep the incision small, please. There was his dad’s medical partner, making the cut for the C-section. And there was his dad, an OB-GYN, helping to maneuver him, slick and bawling, out into the world.
It took a few tries. He wasn’t head down, the way he’d ideally have been for a vaginal delivery. Instead, he was horizontal, back to the floor, as if lying in a hammock. That meant delivering the legs together, so one didn’t get caught. “You have to reach up, get both feet. But we reach up, get a leg and an arm,” Adams recalled. “Put ‘em back, reach up, and get a leg and an arm.” Finally, they got the right hold. “He grew up about two inches as we were pulling him out, just ‘cause he’s got a big head like me.”
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via Health news - STAT coverage of the latest in science and medicine https://www.statnews.com/category/health/
September 06, 2023 at 04:30AM
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STAT: One dose of psilocybin may have lasting effects on major depression study finds
STAT+: One dose of psilocybin may have lasting effects on major depression, study finds
https://www.statnews.com/2023/08/31/psilocybin-major-depression-lasting-effects/?utm_campaign=rss
A single dose of psilocybin may have enduring benefits for people with major depressive disorder, according to a randomized clinical trial published Thursday in the Journal of the American Medical Association.
Several prior studies have suggested that psilocybin, the psychedelic compound produced by certain types of mushrooms, could be a promising way to treat major depression in people for whom antidepressants or counseling aren’t effective. But those studies mostly focused on short-term results, while the new JAMA study looked at psilocybin’s efficacy up to six weeks after the administration of a single dose of psilocybin.
“It’s exciting to see another study that’s coming out that is adding to the evidence base suggesting potential efficacy of psilocybin for depression, amongst other conditions,” said Greg Fonzo, an assistant professor and co-director for the Center for Psychedelic Research and Therapy at the University of Texas at Austin’s Dell Medical School, who was not involved in the study.
Continue to STAT+ to read the full story…
via Health news - STAT coverage of the latest in science and medicine https://www.statnews.com/category/health/
August 31, 2023 at 11:00AM
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STAT: Covid hospitalizations on the rise Humana says
STAT+: Covid hospitalizations on the rise, Humana says
https://www.statnews.com/2023/09/06/covid-hospitalizations-humana/?utm_campaign=rss
More older adults have been hospitalized for Covid-19 over the past several weeks, according to internal data reviewed by health insurance giant Humana.
Humana, which mostly provides health insurance to those 65 and older and who are therefore more vulnerable to the worst effects of Covid, expected more Covid cases and hospitalizations this year. But it didn’t expect the uptick to come during the waning summer months.
“We have seen a further slight uptick in the inpatient side related to Covid,” Humana CFO Susan Diamond said Wednesday at a conference held by Wells Fargo. “We did, within our estimates, assume that we would see an uptick in Covid, although we had assumed that it would occur in the fourth quarter.”
Continue to STAT+ to read the full story…
via Health news - STAT coverage of the latest in science and medicine https://www.statnews.com/category/health/
September 06, 2023 at 12:52PM
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With affirmative action off the table medical schools plan new diversity tactics
With affirmative action off the table, medical schools plan new diversity tactics
https://www.statnews.com/2023/09/06/medical-schools-diversity/?utm_campaign=rss
“Lots of scrambling on the ground.”
That’s how Consuelo Wilkins, the senior associate dean for health equity and inclusive excellence at Vanderbilt University Medical Center, describes medical schools’ current efforts to maintain diversity in the wake of the U.S. Supreme Court’s decision to strike down affirmative action based on race.
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via Health news - STAT coverage of the latest in science and medicine https://www.statnews.com/category/health/
September 06, 2023 at 04:30AM
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Three lessons from Covid that could help global leaders prevent the next pandemic
Three lessons from Covid that could help global leaders prevent the next pandemic
https://www.statnews.com/2023/09/05/pandemic-preparedness/?utm_campaign=rss
Everyone has things that, looking back, they would have done differently in the early days of 2020, had they known how the Covid-19 pandemic would tear across the globe. But those regrets may be particularly poignant for global leaders whose actions (or lack thereof) had direct impacts on how Covid-19 spread.
Joanne Liu, a professor at McGill University’s School of Population and Global Health and former international president of Doctors Without Borders, has some advice for those leaders.
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via Health news - STAT coverage of the latest in science and medicine https://www.statnews.com/category/health/
September 05, 2023 at 05:29PM
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Vaccine experts urge more inclusivity in clinical trials
Vaccine experts urge more inclusivity in clinical trials
https://www.statnews.com/2023/09/05/vaccine-experts-urge-more-inclusivity-in-clinical-trials/?utm_campaign=rss
The recently approved RSV vaccines have been celebrated as key public health tools, but some vaccine experts have lamented one aspect of the trials that led to their approval — namely, that older adults were largely left out of them.
Among adults, RSV poses the biggest threat to the oldest seniors and people with certain preexisting health conditions. But the trials for the vaccines, which have been approved for adults 60 and older, included few participants 80 and older. People who are immunocompromised and those who live in nursing homes were also not included.
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via Health news - STAT coverage of the latest in science and medicine https://www.statnews.com/category/health/
September 05, 2023 at 05:00PM
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Republicans say theyll stop fentanyl at the border. But what are their plans for treatment?
Republicans say they’ll stop fentanyl at the border. But what are their plans for treatment?
https://www.statnews.com/2023/09/05/fentanyl-addiction-gop-desantis-ramaswamy-trump-treatment/?utm_campaign=rss
Americans are dying of fentanyl overdoses in record numbers, and the Republican presidential candidates are talking tough about their plans to respond.
Many of the plans are startling, even violent: Florida Gov. Ron DeSantis has pledged to “use lethal force” by sending troops to attack cartel operations in Mexico. Former President Donald Trump has called for convicted drug dealers to be sentenced to death. Biotech entrepreneur Vivek Ramaswamy, meanwhile, has suggested taking a different tack: Decriminalizing nearly all drugs, including ayahuasca and ketamine.
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via Health news - STAT coverage of the latest in science and medicine https://www.statnews.com/category/health/
September 05, 2023 at 04:30AM
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How a weighted lottery helped underserved patients get a scarce Covid drug
How a ‘weighted lottery’ helped underserved patients get a scarce Covid drug
https://www.statnews.com/2023/09/01/covid-evusheld-astrazeneca-weighted-lottery-underserved-patients/?utm_campaign=rss
In the midst of the Covid-19 surge during the winter of 2021, the Pittsburgh-based UPMC health system received 450 doses of Evusheld — a scarce antibody cocktail being used at the time to prevent immunocompromised patients from being infected by the coronavirus. But those doses were just a fraction of a percent of what the sprawling 35-hospital system needed to protect its 200,000 immunocompromised patients.
“It was quite frankly a double-edge sword. Yes, we have a great therapy, but oh my gosh, how are we going to get this to all of our patients and make sure everyone has equitable access,” said Erin McCreary, an infectious disease pharmacist at UPMC and the lead author of a paper out Friday describing the approach her team devised to distribute the drug fairly — especially to disadvantaged patients.
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via Health news - STAT coverage of the latest in science and medicine https://www.statnews.com/category/health/
September 01, 2023 at 11:00AM
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STAT: A new paper suggests a simple fix to the primary care physician shortage
STAT+: A new paper suggests a simple fix to the primary care physician shortage
https://www.statnews.com/2023/09/01/primary-care-physician-shortage/?utm_campaign=rss
The U.S. is running low on primary care physicians, with an estimated shortage of between 17,800 and 48,000 predicted by 2034. The dearth of doctors in this area has broad ramifications, ranging from more patients seeking care from specialty and emergency medicine to increased costs to the health care system and poorer public health outcomes.
One of the challenges to growing the ranks of primary care doctors is that family physicians and others in primary care typically have a much lower income than specialized doctors, as highlighted by a recent working paper from the Becker Friedman Institute for Economics at the University of Chicago.
Looking at tax data for nearly a million doctors over 13 years, the paper’s authors found that the average doctor in the U.S. earns $350,000 annually. Pay can climb much higher than that, with doctors between the ages of 40 and 55 who are in the top 10% of earners making an average $1.3 million per year. By comparison, primary care physicians in that age range, at their peak earning potential, earn an average $201,000 per year.
Continue to STAT+ to read the full story…
via Health news - STAT coverage of the latest in science and medicine https://www.statnews.com/category/health/
September 01, 2023 at 04:30AM
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A big insurer decides to cover naloxone for overdose; will others follow?
A big insurer decides to cover naloxone for overdose; will others follow?
https://www.statnews.com/2023/08/31/naloxone-opioid-overdose-bcbs-insurer/?utm_campaign=rss
At long last, naloxone is available over the counter.
But now comes a moment of truth for the overdose-reversal medication: Will increased access help to save lives? And more immediately, can everyone who wants to buy naloxone at a pharmacy afford it?
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via Health news - STAT coverage of the latest in science and medicine https://www.statnews.com/category/health/
August 31, 2023 at 04:30AM
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