Viewpoints: Lessons On Public Health Measures And Turning The Tide On AIDS Crisis; No, You Probably Can’t Keep Your Same Doctor. Here’s Why.
Editorial pages weigh in on these health care topics and others.
According to the CDC, the annual number of new HIV diagnoses has remained relatively stable at about 40,000 in recent years. Yet, within some demographics, those numbers are on the rise. About one in seven people still aren鈥檛 aware they have HIV, close to 50% are not engaged in care, and less than 50% are virally suppressed.The urgency of HIV/AIDS is ever-present. (Claire Sterk, 7/27)
Just this week, another patient came to see me for the last time because her employer鈥檚 health insurance plan was changing to one that my practice doesn鈥檛 accept. I have known this patient for several years聽and have followed her through two births, a bout of depression, a divorce and remarriage, two episodes of flu and one of pneumonia, and an ongoing struggle to keep her cholesterol down. She has聽always been polite and appreciative through all this care. I am sad to see her go. She wanted to stay, too, and tried to change her insurance plan to one I accept but was ultimately not successful.聽(Marc Siegel, 7/29)
A very small group of patients with major illnesses is responsible for an outsized share of health care spending, and new data show that prescription drugs are a big part of the reason their bills are so high. The big picture: Among people who get their coverage from a large employer, just 1.3% of employees were responsible for almost 20% of overall health spending, averaging a whopping $88,000 per year. Between the lines: 鈥淧ersistently high spenders鈥 are people who have accumulated big health care bills for at least 3 consecutive years. (Drew Altman, 29)
The antidepressant Prozac came on the market in 1986; coincidentally, it was the year I was born. By the time I saw my first psychiatrist, as an early-2000s teenager, another half-dozen antidepressants belonging to the same class of drugs, selective serotonin reuptake inhibitors, or S.S.R.I.s, had joined it on the market 鈥 and in the public consciousness. The despondent cartoon blob from a memorable series of TV ads for the S.S.R.I. drug Zoloft became a near-instant piece of pop culture iconography after its May 2001 debut. (Kelli Maria Korducki, 7/27)
I am not prone to shedding tears or being overly emotional. I prefer to use my innate sarcasm and wit instead of crying when emotion hits harder than I expect. But when I read Dr. Leana Wen鈥檚 tweet about being shoved out of Planned Parenthood, where she served as president, I cried. Tears seemed like an appropriate response as I stood in solidarity with Wen. I was reminded of my own loss of security and friendships when I left Planned Parenthood 10 years ago. (Abby Johnson, 7/28)
You might think that since President Trump opposes abortion, he鈥檇 want to help young women get birth control to avoid unwanted pregnancy. You might think that someone who claims to be 鈥減ro-life鈥 would want to help young men and women get cancer screenings and treatment for sexually transmitted infections. (Nicholas Kristof, 7/27)
Over my 54 years, I鈥檝e pinned my hopes on my parents, my teachers, my romantic partners, God. I鈥檓 pinning them now on a shrub. It鈥檚 called mastic, it grows in particular abundance on the Greek island of Chios and its resin 鈥 the goo exuded when its bark is gashed 鈥 has been reputed for millenniums to have powerful curative properties. Ancient Greeks chewed it for oral hygiene. Some biblical scholars think the phrase 鈥渂alm of Gilead鈥 refers to it. (Frank Bruni, 7/26)
Food stamps are a lifeline for about one in nine Massachusetts residents. This isn鈥檛 filet mignon money: The subsidies work out to about $1.38 per meal per person, according an analysis by the Center on Budget and Policy Priorities. If the new rules go into effect, the state estimates that about 90,000 residents will be affected. (7/25)
As a nation we should all want to get more people off food stamps 鈥 not by shrinking the eligibility requirements or tinkering with the poverty index, which the Trump administration is also trying to do, but by supporting policies that help families boost their earnings. ...It could be done through long-overdue adjustments to the minimum wage. But it won鈥檛 be accomplished by telling hungry people they鈥檙e just not destitute enough. (7/26)
No corner of San Francisco is free from the sight of sprawled bodies, makeshift camps, or tin cup panhandlers. Homelessness is a shared worry, and that should be a starting point for serious work. This week The Chronicle will explore the changes, both positive and negative, in life on the streets. The series will offer a close look at the mix of people mired in homelessness, answer questions on the topic and offer ways for readers to help. (7/27)
With rising housing costs, fewer pensions, and a fraying safety net, many older adults are one crisis away from losing the roof over their head. This is particularly true for black Americans, who are at three to four times the risk of homelessness nationally. In San Francisco, the disparity is worse: while fewer than 6% of San Franciscans are black, 37% of those who experience homelessness are. (Margot Kushel and Kevin Prindiville, 7/28)