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Your New Therapist: Chatty, Leaky, and Hardly Human
With high demand for mental health care, a wave of artificial intelligence-powered chatbots are being marketed as therapy apps 鈥 with little evidence they work and few regulations. (Darius Tahir and Oona Zenda, 4/17)
Listen: With Little Federal Regulation, States Are Left To Shape the Rules on AI in Health Care
As artificial intelligence embeds itself into health care, some physicians and patient advocates worry it could be used by insurance companies to refuse payment for care. Maryland passed one law banning AI from acting alone on a denial. Meanwhile, Virginia鈥檚 then-governor vetoed that state鈥檚 attempt at regulating AI in health insurance. (Lauren Sausser, 4/17)
Here's today's health policy haiku:
RIPPLE EFFECTS OF WORK REQUIREMENTS
Big, beautiful bill:
Wolf in sheep鈥檚 clothing. Rich win.
Rural clinics lose.
- Marge Kilkelly
If you have a health policy haiku to share, please Contact Us and let us know if we can include your name. Haikus follow the format of 5-7-5 syllables. We give extra brownie points if you link back to an original story.
Opinions expressed in haikus and cartoons are solely the author's and do not reflect the opinions of 麻豆女优 Health News or 麻豆女优.
Summaries Of The News:
RFK Jr. Concedes Measles Vaccine Is Safe, Effective, Better Than Being Sick
While testifying Thursday on Capitol Hill, HHS Secretary Robert F. Kennedy Jr., whose previous anti-vaccine beliefs steered federal policy, allowed that shots might have saved young lives during a measles outbreak in Texas. He also said removing the hepatitis B vaccine from the childhood immunization schedule was the right call.
In a sharp break with his past rhetoric, Health Secretary Robert F. Kennedy Jr. offered a qualified embrace of the measles vaccine on Thursday, as President Trump named a new director of the Centers for Disease Control and Prevention whose views on vaccination are more conventional than Mr. Kennedy鈥檚. (Gay Stolberg and Blum, 4/16)
Health Secretary Robert F. Kennedy Jr. said on Thursday that he was reforming an influential task force that determines which preventive medical screenings, procedures and medications insurance companies must cover at no cost for millions of Americans. Speaking at a congressional hearing, Mr. Kennedy accused the panel, the United States Preventive Services Task Force, of having been 鈥渓ackadaisical and negligent for 20 years.鈥 He said he would appoint new members with 鈥渁 clear mission,鈥 which he did not elaborate on. (Astor and Blum, 4/16)
Health Secretary Robert F. Kennedy Jr. on Thursday kicked off what will be a marathon of congressional hearings over the next week, facing lawmakers鈥 questions for the first time since last fall. The first two of what will be seven hearings across Capitol Hill took place Thursday. Kennedy鈥檚 first stop was the House Ways & Means Committee where he was appearing for the first time. He then testified in front of the House Appropriations Committee. (Kopan, 4/16)
In related news about vaccine skepticism 鈥
New Hampshire lawmakers may drop plans to prohibit all vaccine clinics at public schools. State senators passed legislation Thursday that would allow flu vaccine clinics to continue during the school day and permit clinics during a public health emergency. But funding those clinics may be a hurdle. (Timmins, 4/16)
A recent federal effort to scale back the routine childhood vaccine schedule has shaped how families approach immunization, according to physicians and researchers at Penn Medicine and the Children鈥檚 Hospital of Philadelphia. In the last six years, CHOP鈥檚 Primary Care Network has seen a decrease in the percentage of children up to date on immunizations at age 2, according to Joseph St. Geme, the hospital鈥檚 physician-in-chief. St. Geme wrote that 鈥渢he percentage was 80.0% in 2020 and has dropped to 73.0% in 2026.鈥 (Saji and Calcagno, 4/15)
Dr. Erica Schwartz Tapped To Lead CDC
Although some public health experts lauded the choice 鈥 she's a person with "experience, credentials and dedication to public health" 鈥 an ally to HHS Secretary Robert F. Kennedy Jr.'s MAHA movement panned the pick: "She can鈥檛 even respect the right to and need for informed consent" on vaccines.
Dr. Erica Schwartz is seen as a highly qualified traditional choice and tapping her is the strongest signal yet that the administration is veering away from vaccine skepticism this election year. (Mandavilli, 4/16)
On the World Trade Center Health Program 鈥
The Department of Health and Human Services reversed a staffing reduction at a health program that provides vital medical care for 9/11 heroes after New York lawmakers bemoaned the cuts. Officials in the CDC, a subagency of HHS, informed Sen. Kirsten Gillibrand (D-NY) this week that the World Trade Center Health Program had gotten approval to hire 37 more employees to reach a goal of 120 full-time workers, following inquiries from her and Sen. Chuck Schumer鈥檚 office. (Christenson, 4/15)
More health news on the Trump administration 鈥
A psychedelic used in some countries to treat post-traumatic stress disorder is expected to get a closer examination from the federal government on its safety and effectiveness, sources told CBS News. The White House is drafting an executive order that would signal the Trump administration's willingness to further U.S. research into a drug called ibogaine.聽(Jacobs and Gounder, 4/16)
President Donald Trump has repeatedly said his deals with drugmakers would bring down prescription drug prices in the U.S. But a report released by Senate Democrats finds prices have continued to climb 鈥 in some cases, sharply. The report 鈥 released Thursday by Sen. Bernie Sanders, I-Vt., the ranking member on the Senate Health, Education, Labor and Pensions Committee, ahead of a hearing focused on drug prices 鈥 found that companies that signed drug pricing deals with Trump have raised the cost of hundreds of medications and launched new ones at an average price of $353,000 a year. (Lovelace Jr., 4/16)
鈥婯ey senators are already dismissing聽a renewed attempt by the White House聽to cap medical research overhead costs,聽well before they start drafting fiscal 2027 spending bills. (Cohen, 4/15)
A Venezuelan man pleaded his case to asylum officials on Thursday in an interview that his wife, a well-known doctor in South Texas, planned to attend until she was detained at the airport with the couple鈥檚 5-year-old daughter. Milenko Faria was interviewed at the U.S. Citizenship and Immigration Services offices near Los Angeles, while his wife, Dr. Rubeliz Bolivar, entered her sixth day in immigration custody in Texas and was unable to attend the appointment they had been waiting for for more than 10 years. (Salomon, 4/17)
Man Entered Aetna Building With Assault Weapon, Hartford Police Say
Security guards detained the man without incident, AP reported. Police say they aren't sure what the man's intentions were when he entered the insurer's headquarters in Connecticut. Other health industry news looks at private Medicare Advantage plans; a report on the out-of-network billing system; hospital-at-home programs; and more.
A man carrying a backpack with an AR-style pistol inside was arrested Thursday after walking into health insurer Aetna鈥檚 headquarters in Connecticut, police said. Security guards detained the man without incident shortly after 10 a.m., within 3 minutes after he entered the Hartford building. They held him until city police officers arrived, a spokesperson for Hartford police said. It wasn鈥檛 immediately clear what the man鈥檚 plans were, Lt. Aaron Boisvert said. (Roubein and Weber, 4/16)
More updates from the health care industry 鈥
Nationwide, hospitals and other providers are leaving private Medicare Advantage plans, putting thousands of seniors at risk of higher costs and of losing trusted doctors. (Jaffe, 4/16)
A judge has cleared the way for a trial over a class action lawsuit claiming the operator of Alden nursing homes in the Chicago area systematically understaffed its facilities to make more money, increasing the safety risks of its patients. (McCoppin, 4/16)
Insurers hoping for a reprieve from an out-of-network billing system largely favoring healthcare providers will likely be left wanting as federal policymakers sit on their hands and one large payer鈥檚 bid to limit the claims faces an uphill battle, strategy firm Capstone concluded in a new report. A quarter-by-quarter rise in total payment dispute volumes is likely to continue due to the structural incentives for providers to engage in the process, the firm鈥檚 analysts wrote in its report. Such a trend would be slightly positive for hospitals, solidly beneficial for specialty providers and a roadblock for payers鈥斺渉owever, employers could face an additional burden,鈥 they said. (Muoio, 4/16)
A proposed collaboration between Mass General Brigham and CVS to increase primary care access could raise commercial health care spending by more than $40 million annually within three years, according to a preliminary state report released Thursday. That cost estimate, published by the Massachusetts Health Policy Commission, would add to already ballooning health care spending in the Commonwealth. (Wolf, 4/16)
Arbitration decisions, it turns out, are like cockroaches. They鈥檙e very hard to kill.聽It鈥檚 a long held truism in the legal world, and it was underscored this week when a federal judge shot down a health insurer鈥檚 lawsuit challenging No Surprises Act arbitration decisions. (Bannow, 4/16)
Hospital-at-home programs are gaining steam again as health systems make investments and press for a permanent payment solution for the care model. Penn Medicine, Cleveland Clinic and Tampa General Hospital are among the health systems that launched or expanded in-home acute care programs in the past few weeks 鈥 encouraged by the extension of the Acute Hospital Care at Home wavier through September 2030. (Eastabrook, 4/16)
麻豆女优 Health News:
Listen: With Little Federal Regulation, States Are Left To Shape The Rules On AI In Health Care
Speed, efficiency, and lower costs. Those are the traits artificial intelligence supporters celebrate. But the same qualities worry physicians who fear the technology could lead to insurance denials with humans left out of the loop. With scant federal regulation, states are left to shape the rules on AI in health care. For residents in the Washington, D.C., metropolitan area, a divide is playing out on opposite sides of the Potomac River. Maryland and Virginia have taken very different approaches to regulating AI in health insurance. (Sausser, 4/17)
麻豆女优 Health News:
Your New Therapist: Chatty, Leaky, And Hardly Human
Vince Lahey of Carefree, Arizona, embraces chatbots. From Big Tech products to 鈥渟hady鈥 ones, they offer 鈥渟omeone that I could share more secrets with than my therapist.鈥 He especially likes the apps for feedback and support, even though sometimes they berate him or lead him to fight with his ex-wife. 鈥淚 feel more inclined to share more,鈥 Lahey said. 鈥淚 don鈥檛 care about their perception of me.鈥 There are a lot of people like Lahey. (Tahir, 4/17)
On organ transplants 鈥
Immune tolerance has long been the holy grail in transplant medicine, a hoped-for end to the downsides of anti-rejection regimens for patients after they receive lifesaving organ transplants. A small, early-stage study now shows聽promise in taking cells from living donors 鈥 people giving a portion of their livers 鈥 to teach recipients鈥 immune systems to accept the foreign organs as their own and achieve the ultimate healthy outcome.聽(Cooney, 4/17)
Black Americans are disproportionately represented on the national organ donation transplant waitlist compared to people of other races or ethnicities, according to data from the U.S. Department of Health and Human Services. Available data show that in 2025, Black or African American patients accounted for about 27% of people on the national transplant waiting list, or 28,000 people, while they represented roughly 14% of the U.S. population. (David, 4/16)
Experts Slam Review Of Alzheimer's Treatments, Suggest Data Was Misused
The systematic review looked at data from 17 trials that took place over a 10-year period and concluded that amyloid-targeting treatments probably had little to no difference on cognitive function results, MedPage Today reports. One expert said, "The combined results do not accurately reflect the two treatments that are now approved and clinically used."
A systematic review suggested that drugs targeting amyloid beta appeared to have no clinically meaningful positive effects, sparking swift backlash from Alzheimer's disease experts. (George, 4/16)
More pharmaceutical industry developments 鈥
A new聽analysis from US Pharmacopeia (USP) suggests that vulnerabilities in the pharmaceutical supply chain could put dozens of widely used medicines at risk of shortage, even when current supplies appear stable. (Bergeson, 4/16)
OpenAI is rolling out an early version of an artificial intelligence model meant to speed up drug discoveries, joining a field of growing interest for tech companies eager to prove AI can pave the way for more scientific breakthroughs. The ChatGPT maker said Thursday that the model, GPT-Rosalind, is intended for life sciences research, such as helping glean insights from large volumes of data and turning scientific studies into health-care applications for patients. The model will be available initially as a research preview to some of the company鈥檚 business customers, OpenAI said. The initial users include drugmaker Amgen Inc., vaccine maker Moderna Inc. and the Allen Institute, a bioscience research nonprofit. (Metz, 4/16)
Novo Nordisk A/S has hired about 2,000 people this year, reshaping its workforce after laying off about 10% of staff in 2025. The figure reflects successful job offers, and about 1,400 of those workers have already started, a company spokeswoman said. Of those new hires, Novo said 398 have been in its home country of Denmark. (Kresge, 4/16)
On weight loss drugs 鈥
The scientists whose work spurred the development of powerful obesity drugs like Eli Lilly鈥檚 Zepbound are now raising a provocative hypothesis: Perhaps targeting the GLP-1 hormone is actually not necessary to achieve effective weight loss. (Chen, 4/16)
A recent analysis of more than 400,000 Reddit posts has found some lesser-known side effects of GLP-1 drugs taken for weight loss and diabetes. Researchers at the University of Pennsylvania used AI to analyze more than five years of posts from nearly 70,000 Reddit users, according to a report published in Medical Xpress. Gastrointestinal issues, including nausea, vomiting, diarrhea and headaches, are commonly reported side effects of GLP-1s, according to the Mayo Clinic. (Kaplan, 4/16)
Eli Lilly & Co. said its new weight-loss pill Foundayo was at least as good as an older insulin at warding off heart attacks, strokes or other major cardiovascular events in a study, a finding that comes after US regulators asked for more safety data. The late-stage trial compared Foundayo to Lilly鈥檚 insulin, following patients over the course of about two years. Its main objective was to assess the new pill鈥檚 ability to prevent cardiovascular emergencies in people who were at increased risk and had both diabetes and obesity. (Muller and Kresge, 4/16)
First Case Of Dangerous Clade 1 Mpox Confirmed In San Francisco
The adult patient, who recently had close contact with someone who had traveled internationally, was hospitalized and is improving, public health officials said. Plus: Avian flu virus RNA has been found in the semen of a bull that was not displaying flu symptoms.
San Francisco public health officials on Wednesday confirmed the city鈥檚 first case of clade I mpox, a strain of the virus that officials say may cause more severe illness than the type behind the outbreak in 2022. The case was identified in an unvaccinated San Francisco adult who was hospitalized and is now improving, according to the San Francisco Department of Public Health. The person reported close contact with someone who had traveled internationally, the agency said. (Vaziri, 4/16)
On syphilis, Hib, long covid, and bird flu 鈥
US adults diagnosed as having late-stage syphilis are at higher risk for major cardiovascular conditions such as stroke and heart attack, as well as death, than those without the infection, per a聽study published this week in JAMA Network Open. (Van Beusekom, 4/16)
Since the introduction of Haemophilus influenzae type b (Hib) conjugate vaccines in the United States in 1987, invasive outbreaks of Hib have become rare, but a report in Morbidity and Mortality Weekly Report published today describes two recent clusters among homeless adults who would not have been eligible for vaccination. (Soucheray, 4/16)
Only some post-acute conditions often attributed to long COVID truly occur more often after SARS-CoV-2 infection than after other viral respiratory diseases, according to a non鈥損eer-reviewed聽meta-analysis published this week on the preprint server medRxiv. (Van Beusekom, 4/16)
Inspection Service (APHIS) reported new detections of H5N1 avian flu, with positive tests revealing the virus in five Idaho dairy herds.聽The milking cows were the first avian flu detections in cattle since a Wisconsin report in December 2025. The new detection comes almost exactly two years since US officials first recorded avian influenza in dairy cattle. (Soucheray, 4/16)
Study Links Louisiana Pollution To Pregnancy Risks, Learning Disabilities
The study was conducted by the Collaborative Data Analysis (CoDA) research team using data collected from Louisiana Medicaid claims from 2017 to 2019. Researchers found a broad range of health problems potentially linked to industrial pollution.
Louisiana residents living near industrial areas are at a greater risk of experiencing learning disabilities, anemia miscarriage and many other health conditions according to a new research study based on data from Medicaid claims made in the state.聽The Collaborative Data Analysis (CoDA) research team 鈥 which included researchers from Dillard University, Virginia Tech and the University of California San Francisco 鈥 looked into the negative health impacts of residential exposure to industrial pollution using data from Louisiana Medicaid claims from 2017 to 2019. (Yehiya, 4/16)
Since 2018, more than 100 billion gallons (378 billion liters) of raw sewage laden with industrial chemicals and trash have poured into the Tijuana River, according to the International Boundary and Water Commission. The river traverses land where three generations of the Egger family once raised dairy cows. The United States and Mexico signed an agreement last year to clean up the longstanding problem by upgrading wastewater plants to keep up with Tijuana鈥檚 population growth and industrial waste from factories, many owned by U.S. companies. (Watson and Pineda, 4/17)
In other news from California 鈥
California gubernatorial candidate Xavier Becerra surged in the first poll following the abrupt departure of former Democratic front-runner Eric Swalwell. Becerra, who served as US secretary of health and human services in the Biden administration, now has 10% voter support, up from just 3% last month, according to an Emerson College survey released Thursday. (Clanton, 4/16)
From Florida 鈥
Nationally, Black women are three times more likely to die from a pregnancy-related cause than white women, according to the Centers for Disease Control and Prevention. In Florida, it's worse. (Pedersen, 4/16)
Tiger Woods鈥 attorney is challenging Florida prosecutors seeking a subpoena for the golfer鈥檚 prescription medications from a pharmacy, according to court records filed in Martin County (Fla.) Circuit Court on Tuesday. (Powell, 4/16)
From Virginia 鈥
Rural hospitals often operate on thin margins due to the high proportion of Medicaid patients they serve. They rely heavily on Medicaid reimbursement to keep the doors open, though those payments don鈥檛 cover the full cost of delivering care. Hospitals typically lose money when treating Medicaid patients. (Schabacker, 4/13)
The official announcement from the family came with the tagline: 鈥淢other and baby are doing well after a wild ride.鈥 (Yancey, 4/16)
On Medicaid work rules in Missouri and Minnesota 鈥
Starting next year, many adults who receive benefits from Medicaid, the government-sponsored health coverage program for low-income and disabled people, will need to prove they鈥檙e working, volunteering or searching for a job. The federal directive was included in last year鈥檚 massive spending bill and is designed to foster 鈥渁gency鈥 and 鈥渃ommunity engagement鈥 among recipients. But an analysis of Missouri census data shows that two-thirds of the state鈥檚 adult Medicaid recipients are already working. (Fentem, 4/16)
Minnesotans between the ages of 21 and 64 who apply for Medicaid will need to demonstrate that they have been working, attending school, or volunteering for at least 80 hours each month to qualify for or retain health insurance under the joint federal-state program. This requirement follows President Trump鈥檚 signing of HR. 1 into law, a sweeping tax and spending bill, last July. The new law is set to take effect on Jan. 1, 2027, leaving Minnesota lawmakers grappling with how to implement changes to the state鈥檚 administration of Medicaid funds before the legislative session ends on May 18. (Zurek, 4/17)
Longer Looks: Interesting Reads You Might Have Missed
Each week, 麻豆女优 Health News finds longer stories for you to enjoy. Today's selections are on decongestants, food as medicine, aging, South Korea's medical crisis, and more.
Experts say a popular decongestant doesn鈥檛 work, and the relevant data is limited. Yet the drug remains on the market. (Smith, 4/15)
Prescribing produce, crafting meals: More medical schools are teaching students how to cook and use food as a tool for treating patients. (Severson, 4/10)
New tools tailored for use in senior living communities allow for shared experiences and social bonding. (Locke, 4/15)
Jack Alston was used to migraines, but after two concussions in middle school, he was stuck with a headache that wouldn't go away. (Breen, 4/11)
Despite being one of the wealthiest countries in Asia, South Korea has a buckling emergency-care system. A chronic shortage of E.R. doctors, fewer legal protections for physicians than in other rich nations and a quirk in the emergency response system 鈥 paramedics must wait for hospital permission before transporting a patient to an E.R. 鈥 have led to delays that can be fatal. (Young, 4/12)
Viewpoints: Using ChatGPT As A Second Opinion Is Risky; Rate Of Vaccine Skepticism Is Overblown
Editorial writers discuss these public health issues.
As patients increasingly rely on AI-generated diagnoses, the future of medicine is in question. (Sreedhar Potarazu, 4/16)
Is half of the U.S. now skeptical of vaccines? Recent headlines are misleading 鈥 and that鈥檚 dangerous. (David Higgins, 4/17)
Reducing the presence of microplastics in drinking water is a vital step in protecting public health. (4/16)
Lawmakers owe nursing home residents who are struggling in isolation supportive legislation. Instead, they continue abandoning them, year after year. (Marla Carter, 4/17)
On April 6, cancer patients at Brockton Hospital in Massachusetts showed up for chemotherapy infusions and were told to go home. The hospital鈥檚 information systems had been hit by a cyberattack. The ER closed. Ambulances were diverted. Staff switched to paper records. Patients were told to call back later to reschedule their treatment. (Andrea Downing, 4/17)