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In the Vast Expanses of Indian Country, Broadband Gaps Create Health Gaps, Too
On Idaho鈥檚 remote Fort Hall Reservation, thousands live without reliable high-speed internet, which supports health care, education, and daily life. Facing delays and wavering federal policy, Frances Goli is determined to spend more than $22 million in federal grant money before she runs out of time. (Sarah Jane Tribble, 12/17)
Oregon Hospital Races To Build a Tsunami Shelter as FEMA Fights To Cut Its Funding
Columbia Memorial Hospital near Oregon鈥檚 coastline planned to add a tsunami shelter, counting on a FEMA grant. After the Trump administration cut the funding, hospital officials are building anyway, saying waiting is too risky. A judge ruled Dec. 11 that the administration unlawfully ended the program without congressional approval. (Hannah Norman and Daniel Chang, 12/17)
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Summaries Of The News:
CDC Makes It Official, Drops Hep B Shot Recommendation For Newborns
Babies whose mothers test positive for the virus, or whose status is unknown, should still get the birth dose, the CDC says, but others may delay the first shot until the child is at least 2 months old. However, doctors and hospital systems are likely to continue following the decades-old policy.
Instead of recommending the hepatitis B vaccine for all newborns, the Centers for Disease Control and Prevention now officially advises women who test negative for the virus to consult health care providers about whether their babies should get their first doses within 24 hours of birth. (Bendix, 12/16)
The Trump administration on Tuesday adopted its vaccine advisory committee鈥檚 recommendation to end the decades-old policy that every newborn be offered a hepatitis B shot, despite an outcry from health experts that the decision ignored key evidence around the shots. (Payne, 12/16)
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Sam Whitehead reads the week鈥檚 news: To get food benefits, more people now have to prove they鈥檙e working, and doctors say all newborns benefit from a hepatitis B shot, despite changing federal guidelines. (12/16)
Related news from Illinois, which issues its own vaccine guidelines 鈥
Illinois should continue to recommend that nearly all newborns be vaccinated against hepatitis B, a state advisory committee decided Tuesday, in a move that could represent another break with federal vaccine guidance. (Schencker, 12/16)
Other news about covid, measles, Lyme disease, and listeria 鈥
Nearly 8% of US health care personnel (HCP) with symptomatic COVID-19 continued to work during their illness, and the practice became increasingly common as the pandemic progressed, suggests a聽new observational cohort study published in JAMA Network Open. (Bergeson, 12/16)
Attorney General Catherine Hanaway said Tuesday that China, in its own country, is suing Missouri in the wake of a $24 billion American court judgment the state obtained in connection with the COVID-19 pandemic. (Schlinkmann, 12/16)
When a measles outbreak hit West Texas earlier this year, school absences surged to levels far beyond the number of children who likely became sick, according to a study, as students were excluded or kept home by their families to minimize the spread of the disease. Absences in Seminole Independent School District, a school system that served students at the heart of the outbreak, climbed 41% across all grade levels compared with the same period the two previous years, according to the Stanford University study. (Seminera and Shastri, 12/17)
Claims that Lyme disease was developed as a military bioweapon and escaped from a government lab are flatly contradicted by decades of scientific evidence -- despite what federal regulators have claimed recently, experts say. (McCreary, 12/16)
Two genetically unrelated US outbreaks of Listeria monocytogenes infections linked to packaged salads from two different firms caused 30 illnesses, 27 hospitalizations, and four deaths over eight years, according to a new report by Centers for Disease Control and Prevention researchers and collaborators published in Emerging Infectious Diseases recently.聽(Soucheray, 12/16)
House To Vote On Gender-Affirming Care For Kids, Including Penalties
The two bills up for a vote include one that would criminalize providing certain gender-affirming procedures or medications, and one that would prohibit Medicaid funding for gender-affirming care, Axios reports. Also: House Speaker Mike Johnson (R-La.) blocks a vote on ACA subsidies.
The House of Representatives will vote this week on two bills to restrict transgender youths' access to gender-affirming care, including legislation led by Rep. Marjorie Taylor Greene (R-Ga.) that would criminalize providing certain procedures or medications. (Goldman, 12/17)
The latest on ACA subsidies 鈥
A last minute push by swing-district Republicans to secure a vote to extend enhanced tax credits for federal marketplace health insurance came up short Tuesday. More than a dozen Republicans had been lobbying for an amendment to a House GOP health plan expected to get a vote Wednesday, but House Speaker Mike Johnson (R-La.) told reporters it will not happen. (McAuliff and Early, 12/16)
Vulnerable Republican Rep. Brian Fitzpatrick told Speaker Mike Johnson on the House floor Tuesday he would not withdraw his discharge petition that would force a floor vote on extending expiring Affordable Care Act subsidies 鈥 amid Johnson鈥檚 attempt to find a potential agreement to allow a vote on an amendment instead that would be similar in substance. (Hill and Guggenheim, 12/16)
Related news about health care costs and coverage 鈥
The Centers for Medicare and Medicaid Services Office of the Actuary projects healthcare spending in 2025 will hit $5.6 trillion. Six months after the independent CMS division鈥檚 initial forecast, industry watchers also predict increases. 鈥淚t鈥檚 hard to generalize, but I think many payers and risk-bearing entities are continuing to see elevated cost growth this year and going into next year with quite a bit of volatility,鈥 said Dr. Jeet Guram, associate partner at McKinsey. (Broderick, 12/16)
There's a good chance your health insurance premiums are going up next year, regardless of where you get coverage. The spike in what millions of Affordable Care Act plan enrollees pay will be acute, but workplace insurance is getting more expensive, too 鈥 and all at a time when affordability is prominently on Americans' minds. (Owens, 12/17)
Employer-sponsored insurance may be getting costlier, but it still delivers a positive return for firms that cover their workers, according to a new Avalere Health analysis commissioned by the U.S. Chamber of Commerce and provided first to Axios. (Owens, 12/17)
The economy is flashing new warning signs, as the U.S. labor market shed jobs over October and November, and the unemployment rate ticked up to 4.6 percent, the highest level since 2021. (Gurley, 12/16)
Also 鈥
As immigrants in southeastern Louisiana and Mississippi braced for this month鈥檚 U.S. Homeland Security operation, Cristiane Rosales-Fajardo received a panicked phone call from a friend. The friend鈥檚 Guatemalan tenant, who didn鈥檛 know she was pregnant, had just delivered a premature baby in the New Orleans house. The parents lacked legal residency, and the mother refused to go to a hospital for fear of being detained by federal immigration officers. (Parker, 12/16)
Dismantling Of USAID In Bangladesh Has Led To Surge In Child Prostitution
The sudden funding cuts in multiple countries forced the closure of thousands of schools and child protection programs. Without them, AP reported, many children as young as 10 have been forced into unwanted marriages and manual labor, and girls as young as 12 have been forced into prostitution.
The sudden and severe foreign aid cuts imposed this year by U.S. President Donald Trump, along with funding reductions from other countries, shuttered thousands of the camps鈥 schools and youth training centers and crippled child protection programs. Beyond unwanted marriages, scores of children as young as 10 were forced into backbreaking manual labor, and girls as young as 12 forced into prostitution. With no safe space to play or learn, children were left to wander the labyrinthine camps, making them increasingly easy targets for kidnappers. (Gelineau, 12/17)
More on federal funding cuts and DEI 鈥
A former leading scientist at the National Institutes of Health sued the Trump administration Tuesday, saying she was illegally fired for warning that abrupt research cuts were endangering patients and public health. The NIH has cut billions of dollars in research projects since President Donald Trump took office in January, bypassing the usual scientific funding process. The cuts included clinical trials testing treatments for cancer, brain diseases and other health problems that a recent report said impacted over 74,000 people enrolled in the experiments. (Neergaard, 12/16)
When Pleuni Pennings and her family came to this university town in the south of France at the beginning of the year, the plan was to stay a few months for a sabbatical of sorts before returning home to the U.S. She and her husband thought about moving to Europe one day, and were scouting Montpellier as a possible future home. (Joseph, 12/17)
One was administering grants to tribes for environmental protection strategies. Another was negotiating cleanup for some of the worst contaminated sites in the country, while a third investigated the impact of air pollution on pregnant women and their babies. All three belong to a group of Environmental Protection Agency employees who were placed on extended paid administrative leave this year as part of the Trump administration鈥檚 effort to shrink the agency 鈥 and were later fired. (Ajasa, 12/17)
Abby McIlraith returned to work at the Federal Emergency Management Agency鈥檚 Hyattsville, Maryland, office on the first day of December for the first time in more than three months. Her suspension for signing a public letter criticizing agency leadership was over, and she was looking forward to finally putting it behind her. (Banks, 12/16)
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Oregon Hospital Races To Build A Tsunami Shelter As FEMA Fights To Cut Its Funding
Residents of this small coastal city in the Pacific Northwest know what to do when there鈥檚 a tsunami warning: Flee to higher ground. For those in or near Columbia Memorial, the city鈥檚 only hospital, there will soon be a different plan: Shelter in place. The hospital is building a new facility next door with an on-site tsunami shelter 鈥 an elevated refuge atop columns deeply anchored in the ground, where nearly 2,000 people can safely wait out a flood. (Norman and Chang, 12/17)
Two healthcare organizations, Lyra Health and Texas Health Action, have maintained DEI practices in their organizations. While company leaders see more apprehension and scrutiny about the direction of DEI strategies, even internally, they have continued prioritizing diverse perspectives in hiring, distributing DEI-related content and supporting employees with DEI programs. They believe doing so not only improves the culture of their organizations, but it also helps build trust with patients and improve patient outcomes, executives told Senior Writer Anastassia Gliadkovskaya during a panel at the Fierce Health Payer Summit earlier this month. (Beavins, 12/16)
FDA Will Put Brain Tumor Warning On Depo-Provera Birth Control Shot
Pfizer, which makes the shot, is fighting a lawsuit from more than 1,000 women who claim the company knew about the risk of meningiomas but failed to warn patients. Meanwhile, former Vice President Mike Pence's organization Advancing American Freedom has called for HHS Secretary RFK Jr.'s removal from office over his refusal to review the abortion pill mifepristone.
The Food and Drug Administration approved on Friday a label change for Pfizer's birth control shot Depo-Provera that warns patients of the risk of meningioma, a tumor in the lining of the brain. Pfizer is currently battling a lawsuit in which more than 1,000 women claim the company knew about the risk and failed to warn patients. (Brooks and Essamuah, 12/16)
Former Vice President Mike Pence鈥檚 organization said Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. 鈥渕ust go,鈥 accusing the secretary of refusing to review the abortion pill mifepristone. In a statement posted on the social platform X, Pence鈥檚 nonprofit, Advancing American Freedom, said, 鈥淗HS Secretary RFK Jr. continues to refuse to review the dangerous chemical abortion pill, mifepristone. Despite the calls of state attorneys general across the country and pro-life promises made to Congress, RFK Jr. has followed in the footsteps of the Obama and Biden administrations by stonewalling pro-life efforts at HHS.鈥 (Choi, 12/16)
More pharmaceutical developments 鈥
A major biotechnology company is exiting Silicon Valley.
French diagnostics giant bioM茅rieux plans to permanently close its San Jose office and lay off 121 employees, according to a state filing, ending the company鈥檚 Bay Area operations. The layoffs were filed with California officials last week. (Vaziri, 12/16)
GSK Plc said it won US approval for a drug to treat severe asthma, boosting its prospects as a potential blockbuster. The US Food and Drug Administration approved Exdensur as an add-on maintenance treatment of severe asthma for patients aged 12 years and older, the company said in a statement on Wednesday. (Furlong, 12/17)
Kenvue Inc. is dealing with another challenge to a top-selling product as it attempts to close its $40 billion acquisition by Kimberly-Clark Corp. US President Donald Trump linked the use of Kenvue鈥檚 Tylenol to autism in September. More recently three doctors filed a petition with the Food and Drug Administration that requested the agency remove the active ingredient 鈥 diphenhydramine 鈥 in over-the-counter cold, cough and allergy medications such as Kenvue鈥檚 Benadryl because there are more effective products with fewer side effects. (Brown, 12/16)
DBV Technologies SA said its experimental skin patch helped young children with a peanut allergy in a crucial study. The product, called Viaskin, showed it could help desensitize children aged four to seven who wore it for a year, the French company said Tuesday. The patients then consumed peanut protein to mimic an accidental ingestion, and researchers found they could tolerate it better. DBV said it plans to seek US regulatory approval in the first half of next year. (Pham, 12/16)
On cancer treatments 鈥
This is a story that starts with a dog named Ella. She was a goldendoodle, nothing but bouncy blonde curls. She was 11 years old. And she had cancer. Bad cancer, in her liver. Veterinarians performed surgery to remove the tumor, but it had what are known as diffuse margins 鈥 meaning it had snuck into surrounding healthy tissue. The vets couldn鈥檛 get all of it. (Ingold, 12/17)
The future of cancer drug research just might be in Omaha, Nebraska, between a Panda Express and a Mattress Firm. Here, in an otherwise unremarkable storefront, a little-known clinic called XCancer has become one of the most trusted research partners of pharmaceutical companies seeking to test experimental prostate cancer medicines. XCancer and its sole physician, Luke Nordquist, have participated in more than 200 trials over 15 years, and played a leading role in testing Novartis AG鈥檚 widely advertised blockbuster, Pluvicto. (Melby and Langreth, 12/16)鈥ㄢ
When Morgan Newman was 24, she had an abnormal pap smear. She wasn鈥檛 concerned about the result until she was in the middle of her follow-up screening. 鈥淚 went back for a follow-up screening called a colposcopy and ended up hemorrhaging on the table,鈥 she said. 鈥淎nd so they had to stop, and they referred me to a gynecologic oncologist at that point.鈥 (Krebs, 12/16)
On artificial intelligence 鈥
Psychologist Cami Winkelspecht decided to familiarize herself with artificial intelligence tools like ChatGPT and Gemini, after patients started asking her for advice about how they could use the technology responsibly. "One of the interesting questions that kids and teenagers, in particular, brought in is how can you utilize AI to help support ideas or editing process or things like that for papers and assignments and presentations, but also make sure that you're not utilizing it to write something for you, [so] that you're not violating your school's honor code" says Winkelspecht, who is a child and adolescent psychologist with a private practice in Wilmington, Delaware. (Chatterjee, 12/16)
The healthcare industry has been transfixed by the promises of artificial intelligence and this past year has seen investors, health tech vendors, providers and payers buying big into the technology. Now there is fear within healthcare, like other industries, that the AI bubble could burst as expectations for both companies and their products fail to match reality. (Perna, 12/16)
Dana-Farber Cancer Institute Will Pay $15M To Settle Case Over Flawed Data
Dana-Farber has admitted that scientists, working under inadequate supervision, used federal grant money to conduct research that led to papers with duplicated or manipulated images, Stat reported. But the agreement doesn't include an admission of intentional fraud, Stat noted.
The Dana-Farber Cancer Institute, one of the nation鈥檚 premier cancer research and treatment centers, is paying $15 million to settle a lawsuit claiming that some of its top researchers authored papers containing manipulated data. (Wosen, 12/16)
The former Harvard Medical School morgue manager who stole and sold pieces of bodies donated to the school has been sentenced to 8 years in prison. (Jarmanning, 12/16)
More health care industry updates 鈥
The Federation of American Hospitals has named Charlene MacDonald its next president and CEO. MacDonald will assume leadership of the trade association Jan. 1, the organization said in a news release Tuesday. She succeeds retiring President and CEO Chip Kahn. MacDonald has been with the federation since 2023, serving as executive vice president of public affairs. In that role, she leads the organization鈥檚 government affairs, advocacy and communications initiatives. She also oversees finance and operations teams, the release said. (Eastabrook, 12/16)
Registered nurses at Community Hospital of the Monterey Peninsula in Monterey, Calif., have filed for a union election with the National Labor Relations Board. The nurses are seeking to join the California Nurses Association, according to a Dec. 15 media advisory shared with Becker鈥檚. As of Dec. 16, no election date had been scheduled. If an election occurs and nurses vote in favor of unionization, California Nurses Association would represent roughly 800 nurses at the hospital, according to the NLRB. (Gooch, 12/16)
Sammie Mosier, chief nurse executive and senior vice president of HCA Healthcare, died Friday, the system said in a Linkedin post Monday. She was 50. Her cause of death was not available. Mosier began working at HCA Healthcare nearly 30 years ago as a medical-surgical bedside nurse at its Kentucky-based Frankfort Regional Medical Center. She was named chief nurse executive in December 2021, a role HCA said involved leading the system鈥檚 more than 90,000 nurses. (DeSilva, 12/16)
On organ transplants 鈥
International patients can bring a hospital as much as $2 million for a transplant. In recent years, they have typically gotten organs faster than U.S. patients. (Rosenthal and Hansen, 12/16)
Fernando Moreno has been on dialysis for about two years, enduring an 鈥渦nbearable鈥 wait for a new kidney to save his life. His limited world of social contacts has meant that his hopes have hinged on inching up the national waiting list for a transplant. That was until earlier this year, when the Philadelphia hospital where he receives treatment connected him with a promising pilot project that has paired him with 鈥渁ngel advocates鈥 鈥 Good Samaritan strangers scattered around the country who leverage their own social media contacts to share his story. (Scolforo, 12/17)
NY Health System, Union Strike Deal To Bypass Insurers, Reduce Red Tape
Members of the 32BJ Health Fund will receive more favorable pricing from the nonprofit Northwell Health system, which will become the preferred provider. This strategy bypasses an insurer's role in administering the plan. Plus, the latest on the Brown University shooting.
Northwell Health Inc., one of New York state鈥檚 largest hospital systems, has signed a deal with a major labor union intended to lower costs and expand access to thousands of doctors for its members in the New York area. The pact with 32BJ Health Fund aims to reduce the role of traditional health insurance companies, officials from the fund and Northwell said. Instead, the health fund will contract directly with Northwell, a move both sides said will cut out layers of bureaucracy. They called it the largest deal of its kind in the US. (Tozzi, 12/16)
When new state treasurer Brad Briner walked into his new office at the beginning of 2025, he had a problem.聽After almost a decade of no premium increases for 750,000 state employees and their dependents, outgoing treasurer Dale Folwell had left the State Health Plan 鈥 one of the programs embedded in the treasurer鈥檚 office 鈥 with a deficit. (Hoban, 12/17)
The U.S. Department of Veterans Affairs (VA) opened a new clinic in Rock Springs on Dec. 11. The new building is right down the street from the old location, with an additional 2,500 square feet of space and on-site physical therapy services. (Habermann, 12/16)
麻豆女优 Health News:
In The Vast Expanses Of Indian Country, Broadband Gaps Create Health Gaps, Too
Standing atop Ferry Butte, Frances Goli scanned the more than half a million acres of Shoshone-Bannock tribal land below as she dug her hands into the pockets of a pink pullover. The April wind was chilly at one of the tribes鈥 highest vistas in remote southeastern Idaho. 鈥淥ur goal is to bring fiber out here,鈥 Goli said, sweeping one hand across the horizon. The landscape below is scattered with homes, bordered in the east by snowcapped mountain peaks and to the west by 鈥淭he Bottoms,鈥 where tribal bison graze along the Snake River. (Tribble, 12/17)
On the gun violence epidemic 鈥
It is rare for a gunman in a high-profile shooting to get away, and many are apprehended within days. The authorities shared grainy video and begged for tips as the search stretched into its fourth day. (Dewan, 12/17)
Some school safety and privacy experts said the recent incident at the Florida middle school is part of a trend in which threat detection systems used by schools misfire, putting students under undue suspicion and stress. (Wu and Rozsa, 12/17)
On substance abuse 鈥
A doctor who pleaded guilty in a scheme to supply ketamine to actor Matthew Perry before his overdose death was sentenced Tuesday to 8 months of home confinement. Judge Sherilyn Peace Garnett handed down the sentence that included 3 years of supervised release to 55-year-old Dr. Mark Chavez in a federal courtroom in Los Angeles. (Ding, 12/16)
Health officials in St. Louis County want more people to carry the overdose reversal drug naloxone as deaths due to a super-potent opioid are becoming more common in the region. Although the number of opioid-related deaths in St. Louis County has been decreasing since 2022, health officials are concerned about the local emergence of carfentanil, a lab-made drug similar to the opioid fentanyl. (Fentem, 12/16)
Canada wants to work more closely with China to stop the chemicals used to create the deadly synthetic opioid fentanyl from reaching North America, said Prime Minister Mark Carney鈥檚 point person for fighting the opioid crisis. 鈥淲e鈥檙e looking to collaborate with China, because it鈥檚 not an indictment against the Chinese government, per se,鈥 Kevin Brosseau, the Canadian government鈥檚 fentanyl czar, said in an interview. (Seal, 12/16)
Opinion writers tackle these public health topics.
One of the most closely watched frontiers has been dementia, particularly Alzheimer鈥檚 disease, which affects more than 7 million Americans. Early research suggested that GLP-1 medications might slow cognitive decline, fueling optimism that the drugs already transforming metabolic care could extend their reach to brain disorders. (Leana S. Wen, 12/16)
No matter how carefully we use the antibiotics we have, drug resistant infections will continue to gain ground, forcing us to develop entirely new classes of antibiotics to defeat them. With the last new class introduced more than 20 years ago, we have reached a dangerous tipping point, with drug resistant infections expected to begin outpacing antibiotic innovation. (Manica Balasegaram, 12/17)
The financial stability of nonprofit health systems is at risk. When success is defined by a 3% margin, which is considered stable for nonprofit health systems, there鈥檚 no capacity to absorb deep revenue cuts. (Amy Perry, 12/17)
Competition is one of the most powerful forces for progress. Without it, industries get complacent, productivity stalls, and leaders slowly lose their edge. Science is no exception. (Mikko Packalen, 12/17)
Elder care costs are rising because demand is rising. By 2030, the number of people aged 65 and older will exceed 73 million; that鈥檚 a 30 percent increase in just one decade. (Carrie Lukas, 12/17)