Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: To Guard Against Coronavirus Epidemic, U.S. Doctors Need To Monitor Pneumonias; Administration Let Down Country With False Promises On Health Care
The Wuhan coronavirus continues to spread at an alarming rate. More than 20,000 cases have been confirmed in China, with another 23,000 suspected. Many in China aren鈥檛 even being tested due to a shortage of diagnostic supplies. The true number infected is likely much higher than reported. The virus has turned up in 28 other countries, including the U.S. A pandemic seems inevitable. The U.S. government has moved quickly to try to delay the spread throughout America. As of Feb. 2, most foreign nationals who have traveled in China in the preceding 14 days aren鈥檛 able to enter the country. (Luciana Borio and Scott Gottlieb, 2/4)
The 鈥淐hinese model,鈥 as enthusiasts sometimes describe Beijing鈥檚 autocratic system for dictating policy, can look eerily successful 鈥 until you consider catastrophic events such as the recent coronavirus outbreak. China鈥檚 response to the epidemic that began in Wuhan nearly two months ago shows some advantages of its police-state approach, and some severe disadvantages: Chinese authorities can commandeer resources to build a hospital in 10 days. But by stifling bad news and even arresting vigilant doctors, they create deep distrust at home and abroad, risking their ability to be effective. (David Ignatius, 2/4)
The outbreak of the coronavirus has brought international scrutiny down on China鈥檚 political system. Again. A few commentators have applauded the efficiency of the Chinese Communist Party鈥檚 response, but most have zoomed in on its weaknesses. Some have even blamed the party itself for the outbreak, calling the disease a 鈥淐ommunist coronavirus鈥 or 鈥渢he Belt and Road Pandemic.鈥 Once again, China is largely being depicted as a monolith, and the party as though it exercises near-complete control, 鈥渃rushing almost every wisp of freedom and oversight,鈥 according to one columnist. (Maria Repnikova, 2/5)
In his State of the Union Address Tuesday night, President Donald Trump is sure to 鈥渟elf-proclaim鈥 accomplishments on many issues, including health care. Rather than proposing policies to lower health care costs and expand coverage for Americans, he鈥檒l repeat his false promises on health care, as he鈥檚 done since the beginning of his 2016 presidential campaign. Trump has already let down Iowans on health care. Prescription drug prices continue to rise, the Affordable Care Act is being whittled away, and he proposes drastic cuts for Medicare and Medicaid. (Marti Anderson, 2/3)
It was beyond the pale outrageous that President Trump, in his State of the Union address, would somehow link support for (admirable) advances in neonatal medicine to asking for a (probably) unconstitutional ban on late-term abortions. On a night when he claimed he supported healthcare for all, he exhorted 鈥 bullied 鈥 the lawmakers in the room to cut off and demonize those who would exercise their right to abortion. (Carla Hall, 2/5)
At the Shipley Super Market in Southeast Washington, Crystal Dozier walked past a rack of potato chips and pork rinds. There were shelves of candy bars and cookies, but she ignored those, too. Long rows of sodas, beer and booze hardly warranted a glance. Instead, she grabbed some bananas and a grab-and-go cup of diced fruit. 鈥淭hey have good-quality fruits and vegetables,鈥 said Dozier, a mother of four who lives a block from the corner store. 鈥淭he produce is affordable and convenient, and the kids can come in and get fruit instead of candy.鈥 (Courtland Milloy, 2/4)
Emergency rooms no longer just exist for emergency care, but now encompass all available care. With limited beds and staff, the surplus of sick patients spills into the waiting rooms, and tragedies are left in the wake. We are health care's safety net 鈥 America鈥檚 safety net 鈥 and we are intensely proud to be that.But what happens when safety nets are stretched to their limit? (Amy Faith Ho, 2/4)
Malcolm cleans patient rooms and offices in the large medical center where we both work as pediatric doctors. After finishing our respective rounds one afternoon, we noticed that Malcolm was deep in conversation with the parents of one of our very sick patients. We met him later in the hall, and the three of us began to talk. After Malcolm told us a bit about the concerns of our patient鈥檚 family, he mentioned the ways he often supports and cares for the children being treated on our ward.鈥 I don鈥檛 call myself a housekeeper,鈥 said Malcolm, who has been with the hospital for 10 years. 鈥淚 am the keeper of the house.鈥 (Neil Prose and Ray Barfield, 2/5)