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Thursday, Mar 9 2017

Full Issue

Viewpoints: Drug Shortages Prompt Plans For Execution Binge In Ark.; Match Day Games

A selection of opinions on health care from around the country.

In the space of 10 days in April, Arkansas plans to execute eight men 鈥 nearly a quarter of its entire death-row population, and more than a third as many people as were put to death in America in 2016. It would be the fastest spate of executions in any state in more than 40 years. All of the men have sat on Arkansas鈥檚 death row for decades. Why the sudden rush to kill them now? The answer is as mundane as it is absurd: The state鈥檚 batch of a lethal-injection drug is about to expire. (3/9)

On March 17 at noon, about 18,000 medical students will open envelopes telling them where they will spend the next several years of their lives. It鈥檚 residency Match Day... There鈥檚 too much at stake: eight years of college and medical school, hundreds of thousands of dollars in education costs, and significant debt. We want to go where we feel our careers will take off.聽But there鈥檚 a personal aspect, too.聽For me, the difference between two residencies is suddenly living 3,000 miles from my partner. For some medical students, the difference is聽uprooting spouses and children or keeping them in their jobs and schools. And for others, it鈥檚 a calculated risk on cost of living and paying back those five- and six-figure loans. (Kunal Sindhu, 3/8)

Cancer drugs are all too often hailed as miracles, breakthroughs, game-changers, or even cures, even when they are no such thing. We recently reported in JAMA Oncology that these words were used 50 percent of the time to describe drugs not approved by the FDA, and 14 percent of the time to describe drugs that had only worked in mice. The leap from helping a mouse to saving a human is uncertain, long, and overwhelmingly unsuccessful. Even when we do have drugs that work, hype may mislead us about how well they work and how many people they will benefit. (Nathan Gay and Vinay Prasad, 3/8)

To end this pandemic, women are advancing research on the front lines as scientists in laboratories and clinics and as leaders of large, international clinical trial efforts. Women are also making a difference in clinics around the world as participants in clinical trials, volunteering to help us better understand and fight the disease, one person at a time. Women are setting examples, breaking down barriers, and demonstrating the value that inclusivity brings in scientific research. Because of their efforts, more trials will ensure that the unique biology of women is taken into account as new HIV treatment and prevention tools are developed, tested, and ultimately used by both sexes. (Linda-Gail Bekker and Anthony S. Fauci, 3/8)

Last month, White House press secretary Sean Spicer sent shock waves through the nascent 鈥 but growing 鈥 marijuana industry when he indicated that the Trump administration intends to pursue 鈥済reater enforcement鈥 regarding non-medical marijuana. The comments drew quick rebuke from elected officials in several states that have begun experimenting with pot legalization. Certainly, we shouldn鈥檛 lock people up for marijuana use or low-level offenses, or revert to a 鈥淩eefer Madness鈥-style war on drugs. But we should also recognize legalization for what it is: the large-scale commercialization and marketing of an addictive 鈥 and therefore highly profitable 鈥 substance. (Patrick Kennedy and Kevin Sabet, 3/8)

As representatives of the service provider, philanthropic, and policy maker communities working to address homelessness from different angles, we are acutely aware of the human toll that the problem exacts and of its impact on the public purse. We also know that complex problems like homelessness require creative policy solutions that cut across sectors.聽Fortunately, Massachusetts has had an innovative program in place for more than a decade that specifically targets the high-need, high-utilizing segment of the homeless population consisting of those experiencing chronic homelessness. (Lyndia Downie, Audrey Shelto and Marylou Sudders, 3/9)

For nearly 80 years, the Finnish government has provided new parents with baby boxes聽-- starter kits for parenthood with clothing, toys, diapers and even a bed 鈥 conditional on getting聽prenatal care. The cardboard box features a firm mattress and serves as a safe place to sleep. Last month, New Jersey became the first state in the United States to launch a statewide baby box program. Massachusetts should launch its own version of baby boxes and give newborns a more equal start in life. (Kate Mitchell, 3/8)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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