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Morning Briefing

Summaries of health policy coverage from major news organizations

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Thursday, Jun 20 2019

Full Issue

Viewpoints: Reimagine The Roles Of Primary Care Physicians Or Keep Losing Them; Upcoming Demand For Health Care Workers Is Daunting

Editorial pages weigh in on these health care topics and others.

Nearly three years ago, we began training as primary care doctors in two residency programs at a Harvard-affiliated teaching hospital. We understood the value of longitudinal patient-doctor relationships and wagered that primary care would be the bedrock of this nation鈥檚 health care system. That was even after hearing the warnings: predictions of a national shortage of more than 44,000 primary care physicians (PCPs) by 2035, rampant physician burnout, and a workforce saddled with two hours of required documentation for every hour of patient care. Nevertheless, we felt inspired to join the front lines of health care. Yet when we finish our residencies on June 28, neither of us will be practicing traditional primary care. We are not alone in turning away from this field: Approximately 80% of internal medicine residents, including nearly two-thirds of those who specifically chose primary care tracks, do not plan to pursue careers in primary care. (Richard Joseph and Sohan Japa, 6/20)

Rep. Steven Horsford, a Democrat serving Nevada鈥檚 4th Congressional District, has introduced the Health Providers Training Act 0f 2019. The measure is intended to address a national 鈥渟hortage鈥 of health care workers. 鈥淥ur country faces a growing aging population,鈥 a press release notes, 鈥渁 rise in chronic diseases and increased behavioral health conditions 鈥 all of which contribute to a substantial need for a dynamic health care workforce that can meet the demands of today and tomorrow.鈥 The congressman has a valid point. Baby boomers are fast approaching or in the midst of their retirement years. The market for in-home medical services is projected to grow from $108 billion in 2018 to $173 billion by 2026, according to Business Insider, outpacing every other medical sector. (6/19)

Sen. Bernie Sanders (I-Vt.), who champions Medicare-for-all, will face nine fellow candidates for the Democratic presidential nomination next Thursday on the second night of the debates 鈥 most of whom don鈥檛 agree with his prescription. Former Colorado governor John Hickenlooper, former vice president Joe Biden and Sen. Michael F. Bennet (D-Colo.) are among those who will share the stage and who have pushed back against a system that would outlaw private insurance. I doubt Biden will want to 鈥減unch down鈥 at Sanders, but Hickenlooper and Bennet could create buzz and enhance their vice presidential prospects by debunking Sanders鈥檚 idea. (Jennifer Rubin, 6/19)

In a Trumpian-turn, the former vice president claimed that electing him would cure cancer. No, seriously."I promise you if I'm elected president, you're going to see the single most important thing that changes America. We're gonna cure cancer," he told a crowd in聽Ottumwa, Iowa. Right. The war on cancer goes back to Richard Nixon, and in the years since the National Cancer Act of 1971, we鈥檝e made a ton of progress. But even five decades later, there鈥檚 not going to be a cure any time soon for one simple reason: Cancer isn鈥檛 one disease. It is a complex constellation of distinct ailments caused by a diverse mix of environmental and genetic factors. (David Mastio, 6/19)

Lisbeth takes out her cellphone and flashes a picture of her foster daughter. Two years ago, the teenager was living on the streets near Miami. Her mother, who was addicted to drugs, would disappear for long stretches at a time, and her father was in jail. The 14-year-old girl would steal noodles and cold cuts from local bodegas to feed herself and her two half-siblings, aged 4 and 5. She wasn鈥檛 in school. Eventually, she was found by staff at the Florida Department of Children and Families, who determined that she was being sold for sex. Her legs were pocked with cigarette burns. 鈥淪he doesn鈥檛 talk about the past,鈥 Lisbeth said. (Rikha Sharma Rani, 6/19)

The ascent of Elizabeth Warren in the Democratic race should warm the heart of any policy wonk. Her mantra is 鈥淚鈥檝e got a plan for that,鈥 and she has more than three times as many plans as any of the other 22 candidates. But while the Massachusetts senator is to be commended for her relentlessly serious campaign, it doesn鈥檛 necessarily mean her ideas are good or that they will help her defeat a lowbrow president. On both counts, there is ample room for skepticism. Warren鈥檚 big idea is the opposite of President Bill Clinton鈥檚. In 1996, Clinton said 鈥渢he era of big government is over.鈥 Warren thinks it is just beginning. She wants to build 3聽million new housing units and reduce rents by 10 percent. (Max Boot, 6/19)

Veteran suicide is real and personal. When I was a young lieutenant in the Army, my soldiers and I believed that our communications section chief Sergeant First Class Terry Dennis was the strongest man in our unit. In our minds, he was invincible. But we never realized that he suffered from the invisible wounds of war. While still on active duty, Dennis killed himself.From 2008 to 2016, there were more than 6,000 veteran suicides each year, according to research conducted by the Department of Veterans Affairs. In 2016, the suicide rate was 1.5 times greater for veterans than for nonveterans. (Miguel Howe, 6/19)

Ebola is ravaging the northeastern Democratic Republic of Congo, a country riven by violent conflict and neglected for decades by the international community. The World Health Organization has less than half of the $98 million it needs to confront the crisis. And the United States government has undermined its own experts with a slow-footed response and cumbersome aid restrictions. (6/19)

Finally, Los Angeles city officials are recognizing the urgent need to clean up the trash near homeless encampments. Both the trash that homeless people have nowhere to put and the garbage illegally dumped by businesses are a blight and health hazard for everyone in the city. Too bad our elected representatives had to be shamed into performing one of local government鈥檚 most basic duties. Under a $6-million plan laid out by city officials, sanitation workers would place trash receptacles in high-density homeless encampments and provide regular trash collection. In addition, a pilot program would be set up to employ homeless people to clean up trash in encampments, which is a great idea. There are homeless people sweeping dirt and trash away from their encampments right now. (6/20)

As doctors and former public servants who have worked as the Secretary of Health and Human Services and as U.S. Surgeons General, we are deeply invested in protecting the public health of American communities. That鈥檚 why we are voicing our support for the recently introduced City Council ordinance that would make all Atlanta workplaces smoke-free. (Louis Wade Sullivan, Vivek Murthy and David Satcher, 6/19)

What does "school safety" really mean? Our schools face a number of security issues, such as guns, drugs, bullying, gangs and sexual assault. We must find solutions to all of these if we want to create a climate in which all students feel safe. (Joseph Erardi, Kristi Sandvik, Paul Penzone, Mark Joraanstad and Dick Foreman, 6/19)

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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