Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: The Politics Of Zika Funding; Statins Through The Lens Of Evidence-Based Medicine
鈥淗old up. Wait, wait, wait a minute.鈥 That was my response when Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, told me that the ongoing congressional battle over Zika funding forced the federal government to take money from other diseases to finance the hunt for a vaccine. 鈥淔irst, we took money from other infections. We borrowed money from ourselves from malaria and TB,鈥 Fauci told me in the sixth episode of 鈥淐ape Up.鈥 (Jonathan Capehart, 9/20)
The United States is in the middle of a public health crisis brought on by the spread of the Zika virus. Yet Sen. Roy Blunt, R-Mo., continues to look out for his own political interests instead of standing up for Missouri families. Now that Congress is in session, it is time to put aside partisan games and get things done for the American people. (Alison Dreith, 9/21)
[H]undreds have protested Miami-Dade's aerial spraying of naled in an attempt to control spread of the Zika virus. Activists note the pesticide is blamed for the death of millions of honeybees in South Carolina last month. Miami-Dade officials claim aerial spraying is helping to eradicate Aedes aegypti, the mosquito that spreads the virus. But some residents are complaining that they weren't notified when naled was being sprayed near their homes; and the New York Times reported that activists are "collecting accounts from residents who say the pesticide has caused rashes, headaches and nausea." (Gil Smart, 9/20)
The latest fight between orthodoxy and free inquiry is about the benefits and harms of statins for primary prevention. A review, and an editorial, in the Lancet said the benefits of statins are real, the harms are exaggerated, and skepticism of benefits of statins should be censored because doubt can harm the public who may not take their statins and thus die prematurely. Stated differently, skepticism kills. The lead author of the review once asked the BMJ to retract a study which he felt overplayed the harms and denied the benefits of statins. ... The BMJ, at the crossfire of this inquisition, responded to Lancet鈥檚 accusation in kind. (Dr. Sarah Jha, 9/20)
It wasn't a good sign聽for Community Health Systems back in 2013 when analysts were telling the hospital operator's desperate acquisition target to "take the money and run."聽Community Health's $7.5 billion deal for Health Management Associates, completed early the following year, was effectively a take-under for some of HMA's聽shareholders and yet their聽best option at the time -- a "godsend"聽is how one analyst put it. For Community Health, it's been a case of "bad-dealitis".聽History is repeating itself: Now Community Health is the one left聽exploring a sale聽to聽become someone else's problem. (Tara Lachapelle, 9/19)
The Affordable Care Act has ushered in rapid change to our country鈥檚 health care system. Here are tangibles that come to mind: a plethora of new terminology (accountable care organizations, exchanges, population health, etc.), individuals dropped from their health plans, exchange plans that few providers accept, stratospheric premium increases, and insurance companies bailing from state exchanges, just to name a few. Sadly, what is missing is the creation of real value or increase in the quality of health care. (Michael Zucker, 9/20)
We all agree that medications are an important social good, and that a healthily functioning pharmaceutical market is good for everyone. Drug companies should get fair payment so they can continue to thrive and innovate. Everyone should be able to benefit from what they provide, at a cost they can afford. But none of this can happen if extortionate drug-price hikes continue unchecked. (Thomas Kottke and Charlie Fazio, 9/20)
Is your child susceptible to infections or suffering from pain? Does your child tire easily? Does he or she have learning problems? While it鈥檚 not likely, your child may have sickle cell disease (SCD). SCD is the most common genetic condition in the world and the most common condition identified by newborn screening in the United States. There are roughly 40 to 50 children born with SCD in Miami every year. (Ofelia Alvarez, 9/20)
While there is no cure yet for this devastating illness, the UK Sanders-Brown Center on Aging is working furiously to change that. And we have already achieved international recognition: the center was a pioneer in the discovery that a healthy lifestyle can help prevent dementia. (Linda Van Eldik, 9/20)
According to the U.S. Drug Enforcement Administration (DEA), in the Charlotte area alone there have been 148 heroin overdose-related deaths in 2016, an 80 percent increase compared to the same time period last year. In 10 of the overdose deaths, Fentanyl, a synthetic opioid pain killer which is 80 times more potent than morphine, was listed as a contributor. Mexican drug trafficking organizations, which supply the bulk of heroin to the United States, have used Fentanyl as an additive to expand the volume of heroin. Heroin addicts, unaware of this deadly additive, are overdosing at alarming rates. (Jill Westmoreland Rose, 9/20)
On Thursday, I will go before Miami-Dade County commissioners to ask them to fund case managers for the Adult Criminal Drug Court, where I have presided as the 鈥淒rug Court Judge鈥 for the past four years. Drug courts save lives and save the community money. That鈥檚 why the federal government stepped up to the plate last year and allocated more than $100 million for drug courts nationwide. The county must do its part, as well. (Jeri Beth Cohen, 9/19)
"Cannabis Curious?鈥 That鈥檚 the billboard my children and I see every day on our after-school drive on Ventura Boulevard. The questions from my kids, who are 11 and 13, have come spilling out: 鈥淲hat is cannabis? What's curious about it? Why does it have different names? What does it look like? Why do people use it?鈥 (Elizabeth J. D'Amico, 9/21)