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Morning Briefing

Summaries of health policy coverage from major news organizations

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Wednesday, Apr 27 2016

Full Issue

Viewpoints: Zika Virus Raises Questions About Pandemic Readiness; Cheers And Jeers For Obamacare

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

In the aftermath of the anthrax attacks of 2001, the Ebola outbreak of 2014 and now Zika, it is no longer a question of if but when the next biosecurity threat will occur. In fact, experts believe a pandemic, not nuclear terrorism or climate change, is most likely to cause 10 million or more deaths in a single event. (Tom Daschle and Ron Klain, 4/26)

Recent developments have once again prompted some to declare that the insurance marketplaces developed as part of the Affordable Care Act (ACA) are unsustainable and collapsing. And once again, these reports are overstated. What has prompted this latest round of recriminations is the report that UnitedHealthcare, the nation鈥檚 largest health insurance company, will be pulling out of the ACA鈥檚 marketplaces except in a 鈥渉andful of states鈥 in 2017. The company cites financial losses in its plans sold to individuals as the impetus for its withdrawal. The insurer is still quite profitable overall, earning $3 billion in operating profits in the first quarter of 2016. (Larry Levitt, 4/26)

Here鈥檚 some bad news for the insurance industry: Unexpectedly generous corporate subsidies didn鈥檛 save companies selling Obamacare policies from bleeding red ink. The worse news: Those subsidies are set to expire in 2017, meaning that insurers will have to make ends meet without billions in handouts. (Doug Badger, 4/26)

It has been more than six years since the Affordable Care Act became law. During that time, Republicans in the U.S. House have voted dozens of times to repeal, defund or dismantle it. Never have they voted on a bill to replace the health reform law. Now we know why: They鈥檙e still working on coming up with a plan. (4/26)

Three years ago, Walgreens (b. 1901) arrived in Silicon Valley for the same reason many old economy companies do: to hurry and join the digital vanguard before it was left behind. Walgreens quickly made a deal with Theranos (b. 2004), the medical diagnostics company and media darling that promised a revolutionary approach to blood tests. (Randall Stross, 4/27)

The $150 billion federal disability program is a mess. It almost went broke (Congress had to give it an emergency infusion). It discourages employment and can be gamed. But woe to the office-seeker who tries to fix it. (Paula Dwyer, 4/26)

If we hope to move to an efficient healthcare system that is fair to everyone, Congress will have to take on the largest subsidy in the tax code. Despite strong opposition from unions and employers, it is possible to reform the tax break for employment-based health insurance without destroying that market. (Joseph Antos, 4/26)

Margins on hospital Medicare business are expected to deteriorate this year, bottoming out at a negative 9% on average, according to a report by the commission that advises Congress on Medicare payments. But the good news is that hospitals are making healthy profits and surpluses overall on the strength of productivity gains, cost-cutting and their commercial business, the Medicare Payment Advisory Commission said in a little-reported study in March. (Dave Barkhotz, 4/26)

I remember driving to the hospital with my mother when I was 6 or 7. We pulled up to the physician parking lot, but the attendant refused to open the gate, telling my mother the lot was for physicians only. 鈥淚 am a physician,鈥 she said, 鈥渁nd I work here.鈥 (Jennifer Adaeze Anyaegbunaum, 4/27)

I鈥檓 not always the best spokeswoman for autism. I toggle between wanting people to understand our daughter and wanting to behave like a normal family running errands on a Saturday. Some days I don鈥檛 feel like having to explain to strangers in line at the grocery store that she doesn鈥檛 speak, or having to identify myself at a school board meeting as a parent of a special-needs child. (Katherine Osnos Sanford, 4/26)

Imagine a veterans鈥 hospital with no waiting list to see a doctor. One where veterans can book their appointments online 24 hours a day, seven days a week. Where the red carpet is rolled out for our heroes to receive world-class care for their world-class service the very next day 鈥 before it鈥檚 too late. And where the men and women who accepted the call of duty can choose to continue seeing the doctor they鈥檝e seen their entire lives. (Rep. Cathy McMorris Rodgers, 4/26)

KidsCare is not a trap or a trick or part of some sinister federal strategy to undermine Arizona鈥檚 independence. It is a trip to the doctor for a sick child. It is a well-baby check for an infant. It is ongoing care for a chronic childhood ailment, like asthma. (4/26)

You knew this was coming. The governor promised tax cuts so there were going to be some form of tax cuts, no matter what. Perhaps because somewhere down the line when he is running for something else he'll be able to say he cut taxes. (E.J. Montini, 4/26)

Up to 30 million Americans are suffering from eating disorders such as anorexia nervosa, bulimia nervosa and binge eating, according to the National Eating Disorder Association. Kentucky is 25th in the nation, with approximately 149,000 individuals afflicted with such devastating disorders. For those seeking treatment, there are zero inpatient facilities and there is only one outpatient therapy program in this state. (Kristy Klueh, 4/26)

As Congress and the Drug Enforcement Administration weigh whether marijuana should be rescheduled, public faith in the drug classification system continues to erode. Debate rages between those who emphasize the strangeness of marijuana being on the highly restrictive Schedule I alongside far more harmful drugs like heroin, and those who emphasize how strange it would be to put crude plant matter on a less restrictive schedule alongside well-specified FDA-approved medications. (Keith Humphreys, 4/26)

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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