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President Obama on Tuesday sent his final annual budget proposal to a hostile Republican-led Congress, rejecting the lame-duck label to declare that his plan “is about looking forward,” with new initiatives that include $19 billion for a broad cybersecurity plan. Mr. Obama’s proposed 10-year savings would push deficits down again for a couple years and offset costs of the president’s proposed initiatives. Then deficits would begin increasing again with the retirement and health costs of aging Americans. (Calmes, 2/9)

Spending for the Department of Health and Human Services would increase to $1.1 trillion under a proposal that would add large mandatory expenditures for cancer research and fighting drug addictions while slightly decreasing the department’s discretionary programs. The budget furthers the administration’s efforts to move toward new payment methods in Medicare, including a new competitive bidding system for private Medicare Advantage health plans. (Goldstein, 2/9)

President Barack Obama proposed a record $4.1 trillion budget on Tuesday. Here's a look at each agency and department. ... [Department of Health and Human Services is] up 3 percent. Responding to an epidemic of heroin addiction and abuse of prescription painkillers, Obama's budget would provide $1 billion in new funding over the next two years for states to help more people get and complete treatment. The money would be allocated to states based on the severity of the epidemic and the strength of their strategy. The budget also includes $500 million in new funding to increase access to treatment for people with serious mental health problems. (2/9)

The Obama administration stopped short of writing a detailed prescription for its signature health law into the president’s final budget, but called for growth for the nation’s premier agency for biomedical research for the first time in a decade. In the fiscal 2017 budget proposal, widely seen as a template for a Democratic successor, officials stuck to modest recommendations for the Affordable Care Act aimed at encouraging more states to expand their Medicaid programs as part of the law, and tweaking its so-called ‘Cadillac tax’ on high-cost health plans. (Radnofsky and Burton, 2/9)

Some high-earning partners in hedge funds, private-equity firms and other businesses organized as so-called pass-throughs would pay a 3.8 percent health-care income tax under President Barack Obama’s 2017 budget request. The proposal would extend a “net investment income tax” for Medicare that’s been in place since 2013 to taxpayers who have successfully characterized their income in ways the tax doesn’t reach, according to Obama administration officials. Combined with another provision, which is designed to require more business owners to pay self-employment taxes, the change is projected to raise $271.7 billion over the next decade. (Browning, 2/9)

The CDC is seeking $15 million in new funding to improve health and wellness for Native Americans and $30 million in mandatory funding for suicide prevention. The latter is part of the administration’s proposal to boost federal mental health spending by $500 million over two years to improve access to care and prevent suicides. ... Funding for Vice President Biden’s cancer “moonshot,” advances in precision medicine and research on the complexity of the brain highlight the president’s $33.1 billion proposed 2017 budget for the National Institutes of Health. About $680 million would expand clinical trials to include more minorities and others who suffer from higher cancer rates. (Sun and Bernstein, 2/9)

President Barack Obama proposed $375 billion in spending cuts to U.S. health programs in his fiscal 2017 budget, including deep reductions to rates the U.S. pays drugmakers for their products, and changes to how doctors and hospitals care for patients. The proposals are part of the $4.1 trillion budget that the Obama administration is proposing, which starts Oct. 1. Some items -- like cuts to drug spending under Medicare -- have been proposed before. With a Republican-controlled Congress, it’s unlikely that many, or any, of them will become law. The proposed savings would be realized over 10 years. (Tracer, 2/9)

"The budget that we’re releasing today reflects my priorities and the priorities that I believe will help advance security and prosperity in America for many years to come," President Barack Obama told reporters at the White House. "It adheres to last year’s bipartisan budget agreement. It drives down the deficit. It includes smart savings on health care, immigration, tax reform." (Korte, 2/9)

Donald J. Trump and Senator Bernie Sanders of Vermont harnessed working-class fury on Tuesday to surge to commanding victories in a New Hampshire primary that drew a huge turnout across the state. (Healy and Martin, 2/9)

For years, plenty of players in the American political system have quietly wished that the outsize role of two small and quirky states—Iowa and New Hampshire—in picking presidential nominees could be reduced. Maybe this is the year that has come true. (Seib, 2/10)

Donald Trump resoundingly won the New Hampshire Republican presidential primary Tuesday night, giving the billionaire mogul his first victory in an improbable and brash campaign that already has turned American politics upside down. On the Democratic side, Sen. Bernie Sanders notched a decisive win over Hillary Clinton in a state she had won in 2008. (Rucker and Costa, 2/10)

There is no ignoring it now, the American electorate’s disregard for establishment politicians promising incremental change. If the country’s fatigue with the prospect of a Clinton-Bush presidential matchup has hovered above this 2016 race like a latent current of electricity, Tuesday’s New Hampshire results were the long-awaited lightning strike. (Stokols, 2/10)

In the run-up to today’s presidential primaries in New Hampshire, candidates, voters and the national media have focused attention on the state’s growing heroin and opiate problem. In USA Today, Manchester, N.H.’s police chief called the state’s heroin problem “an apocalypse.” NBC News billed the state’s “heroin crisis” as a “hidden war.” Fox Business labeled it an “epidemic.” (Bush, 2/9)

[Donald] Trump is essentially creating a political wing of his own, defined by his outlandish promises to singularly change American government with his leadership and business acumen and his ability to tap into the concerns many Americans have about illegal immigration, the threat of home-grown terrorism, the rising cost of health care and other threats to the middle class. [Sen. Bernie] Sanders has pushed well beyond the liberalism of past progressive candidates like Bill Bradley and Howard Dean, directly arguing America should be more like countries in Western Europe that have much larger safety nets and define themselves as socialist, not capitalist. (Bacon, Jr., 2/10)

During an exchange about veterans’ health care, moderator Rachel Maddow asked the two candidates: “How will you win the argument on that issue given the problems that have been exposed at the V.A. in the last few years? What’s your argument that the V.A. should still exist and should not be privatized?” Maddow cited efforts to “abolish” or privatize large portions of the VA. Then, just days after the debate, Clinton was quoted referring to the plan to “abolish the Veterans’ Administration.” Such an effort is most closely associated with Concerned Veterans for America, a veterans advocacy group in the Koch brothers’ political network. What exactly is the group’s proposal to overhaul the Department of Veterans Affairs? (Ye Hee Lee, 2/10)

Anti-abortion group Susan B. Anthony List announced its support for pro-abortion rights group NARAL Pro-Choice America, on at least one thing. On Monday NARAL sent an email to supporters asking them to sign a petition requesting that the hosts of Thursday night’s Democratic debate in Milwaukee, PBS’ NewsHour's Gwen Ifill and Judy Woodruff, ask the candidates about abortion rights. (Collins, 2/9)

A proposal that would expand health care insurance coverage for more than 100,000 Nebraskans by accessing available federal Medicaid dollars would cost the state more than an estimated $100 million a year over a 10-year period, state senators were told Tuesday. Calder Lynch, state Medicaid director for the Department of Health and Human Services, said he will testify in opposition to the legislative bill (LB1032) at its public hearing on Wednesday. At a briefing for news media representatives in conjunction with distribution of a 19-page analysis to members of the Legislature, Lynch said he believes the proposal may be "ultimately not sustainable." (Walton, 2/9)

An attempt to force a vote on Medicaid expansion in the Kansas Senate was blocked Tuesday. Sen. Mary Pilcher-Cook, R-Shawnee, the Senate’s most ardent opponent of Medicaid expansion, offered an amendment to expand the program in an attempt to show supporters it cannot pass in the Senate. Pilcher-Cook, the Senate Public Health and Welfare chair, said expanding the program under the Affordable Care Act would lead to higher taxes and higher health care costs. (Lowry, 2/9)

CVS Health Corp. reported higher profit and sales in its fourth quarter, as rising sales of prescription drugs offset a slight drop in sales in the front-end of its stores, where traffic continues to erode. ... The results were also boosted by two recent acquisitions that allow CVS to cover more patients: Omnicare Inc., which dispenses drugs to places like nursing homes; and Target Corp.’s pharmacy business, which gives CVS nearly 1,700 more locations. As both those acquisitions become integrated, CVS plans to market them aggressively to help sign up more clients to its network. (Dulaney and Ziobro, 2/9)

CVS Health Corp. earnings matched analysts’ earnings estimates in the fourth quarter, after the August acquisition of nursing-home pharmacy Omnicare helped drive sales growth at its drugstores. Earnings were $1.53 a share excluding one-time items, the Woonsocket, Rhode Island-based company said in a statement, reiterating its 2016 earnings forecast. Fourth-quarter sales in the retail-pharmacies division rose 12 percent, with about half of the increase coming from the long-term care business bought as part of Omnicare. That deal also boosted revenue at the pharmacy benefit management business, which contracts with health insurers and employers. (Langreth, 2/9)

Acquisitions helped CVS Health's fourth-quarter profit climb 13 percent, and leaders of the drugstore operator and pharmacy benefits manager said Tuesday that they expect to reap more gains from their deal making later this year. The Woonsocket, Rhode Island, company spent more than $10 billion to buy pharmaceutical distributor Omnicare in a deal that closed last summer and about $1.9 billion to take over the pharmacy and clinic business of retail giant Target Corp. (Murphy, 2/9)

CVS Health Corp (CVS.N), the No.2 U.S. drugstore chain by store count, forecast current-quarter profit below analysts' estimates as customer traffic to its retail stores slows. Shares of the company, which sells items such as personal care products, over-the-counter drugs and snacks at its retail stores, fell 2.4 percent in premarket trading on Tuesday. (Patnaik, 2/9)

Centene Corp., a Medicaid-focused health insurer, reported its profit rose 5.7% in the final quarter of the year as a key measure of the company’s medical costs fell and the company boosted its number of managed care members, but it also lowered its guidance for the year.The company said that its Medicaid business grew 30% to include 3.5 million members. (Steele, 2/9)

For the first time in three years, Blue Shield of California leads enrollment in the state’s insurance exchange while Oscar, a closely watched newcomer, experienced a slow start. The Covered California exchange said it won’t release enrollment figures by company until later this month, and insurers declined to share specifics until then. But interviews with industry officials indicate some insurers, such as Blue Shield and Molina Healthcare Inc., picked up more business while others lost ground during the Affordable Care Act’s third open enrollment. (Terhune, 2/10)

If you have a high-deductible health plan -- and an increasing number of Americans do -- it may be time to open a Health Savings Account. It lets you save on your income taxes because contributions to an HSA are deductible, just like contributions to Individual Retirement Accounts. (Kristof, 2/9)

Americans have come to rely on their smartphones to help them do seemingly everything, like hailing a taxi and comparing prices of dog food. But when it comes to buying prescription drugs, consumers still find the process maddeningly antiquated. Now, a few entrepreneurs say they are aiming to fundamentally change the way people buy drugs, bringing the industry into the digital age by disclosing the lowest prices for generic prescriptions to allow comparison-shopping. (Thomas, 2/9)

Zenefits was reportedly one of the fastest-growing companies in Silicon Valley, a region famous for giving birth to companies that undergo tremendous growth spurts. The startup, which distributes free administrative software to businesses and works as a health insurance broker, was dealt a serious blow last fall when a BuzzFeed News investigation revealed that the company had not been obtaining licenses necessary to sell insurance in individual states. ... Zenefits is just the latest example of a high-flying startup trying to revolutionize the health-care space, only to discover along the way that Silicon Valley's philosophy of disruptive innovation can be more difficult to apply to health care than in the digital world. (Johnson, 2/9)

Grail, a healthcare firm developing a blood test for early cancer detection, named former Google X Senior Vice President Jeff Huber as its CEO Wednesday. Huber said he wants to apply his experience building large-scale data systems to improve the gene sequencing technology used by Grail to detect cancerous material in patients who show no symptoms of the disease. (Todd, 2/10)

Veterans' hospitals compare pretty favorably with others when it comes to treating older men with three common conditions — heart attacks, heart failure and pneumonia, according to a study on death rates and readmissions. Chances for dying or being readmitted within 30 days of treatment for those conditions varied only slightly for patients hospitalized within the VA system versus at outside hospitals, the 2010-2013 study found. (2/9)

For older men with heart attack, heart failure or pneumonia, being treated at a Veteran’s Affairs (VA) hospital carries similar risks of death or hospital readmission compared to other facilities, according to a new study. Rates of death from any cause within 30 days of admission were slightly lower at VA hospitals, and hospital readmission rates were slightly higher, but the differences were very small, researchers found. (Doyle, 2/9)

Under a House bill passed Tuesday, the Department of Veterans Affairs would have to look closely at whether its mental health and suicide prevention programs meet the needs of the growing number of female veterans. A study released over the summer found that women who have served in the military commit suicide at nearly six times the rate of those in the civilian population. (Wire, 2/10)

The House on Tuesday approved a bill to increase oversight and management of large construction projects at the Department of Veterans Affairs after a new VA hospital outside Denver tripled original cost estimates. The bill requires the VA to allow the Army Corps of Engineers or other federal agencies to manage projects that cost more than $100 million. The VA also would be required to keep Congress closely informed about large projects. Money could not be spent on advance planning or design until 60 days after Congress is notified. (2/9)

As the U.S. Supreme Court prepares to decide the legality of strict Texas abortion restrictions, women's healthcare providers have launched a campaign across the state trying to win support to keep their clinics open. On Tuesday, one of the plaintiffs in the suit, Whole Woman's Health, opened a San Antonio clinic to media as part of week-long campaign of rallies called the "Truth Tour." (Forsyth, 2/9)

“Free Pregnancy Testing,” reads the large sign in front of the East County Pregnancy Care Clinic, on a busy intersection of this impoverished city east of San Diego. ...The clinic is one of more than 3,000 crisis pregnancy centers around the country that are operated by religious opponents of abortion, with the heartfelt aim of persuading women to choose parenting or adoption. Now it and others in California are in a First Amendment battle with the state over a new law that requires them to post a notice that free or low-cost abortion, contraception and prenatal care are available to low-income women through public programs, and to provide the phone number to call. (Eckholm, 2/10)

Johns Hopkins announced this week that it had received approval from the nation's organ-sharing authority to become the first hospital in the United States to conduct transplants involving HIV-positive donors and HIV-positive recipients. “This is an unbelievably exciting day for our hospital and our team, but more importantly for patients living with HIV and end-stage organ disease. For these individuals, this means a new chance at life,” Dorry L. Segev, an associate professor of surgery at the Johns Hopkins University School of Medicine, said in a statement. (Eunjung Cha, 2/9)

From behind their counters, pharmacists are increasingly, and controversially, called upon to play drug cop — to turn away abusers, to reject phony prescriptions, and to protect their inventory of pills from criminals who see pharmacies as an easy target. (Glionna, 2/10)

To lead his major cancer research initiative, Vice President Joe Biden has tapped a close adviser who’s a political coordinator, not a medical scientist. But that doesn’t mean Don Graves doesn’t know cancer. (Nather, 2/10)

When Carolyn Coyne's lab at the University of Pittsburgh recently tried to order a sample of Zika virus from a major laboratory supplier, they were told it was out of stock. "They are actually back-ordered until July for the virus," Coyne says. "At least that's what we were told." She ended up obtaining Zika from another source, and it arrived at her lab Tuesday. She's just one of a growing number of lab researchers who are racing to investigate Zika virus in the wake of reports that it may be linked to some cases of microcephaly, the birth defect that leaves babies with small heads and brains. (Greenfieldboyce, 2/9)

The mayor of Hawaii County has declared a state of emergency on Hawaii's Big Island over an outbreak of mosquito-borne dengue fever. The island has seen nearly 250 confirmed cases of the mosquito-borne virus since September 2015. State health officials first reported two cases that originated there in late October 2015, Mayor Billy Kenoi says in his declaration. (Kennedy, 2/9)

Alabama has received permission from the federal government to test drive a different plan to provide health care through Medicaid to the one million mostly poor Alabamians who depend on it. Gov. Robert Bentley announced today that the state has received a waiver from the feds that will allow Alabama to deliver Medicaid services differently. The waiver will allow the state to transition from a fee-for-service model to one closer to managed care through entities called regional care organizations or RCOs. RCOs are locally-led managed care systems that will ultimately provide healthcare services to most Medicaid enrollees at an established cost under the supervision and approval of the Alabama Medicaid Agency. (Dean, 2/9)

The federal government gave Alabama the go-ahead to change the delivery of Medicaid and move to a managed care system advocates hope will control cost growth and lead to better outcomes. Gov. Robert Bentley, flanked by Medicaid Commissioner Stephanie Azar and legislative leaders Tuesday, said the state had received an 1115 waiver from the Centers for Medicare and Medicaid, which administers the Medicaid program. The waiver will allow the state to create 11 regional care organizations (RCOs), which will enroll Medicaid patients with the goal of encouraging preventive care and cutting costs. (Lyman, 2/9)

Sheriffs organizations in Minnesota and elsewhere criticized policies that allow those who are able to post bail maintain Medicaid coverage, while others who remain in custody lose it. Hennepin County Sheriff Rich Stanek and Minnesota U.S. Sen. Al Franken urged the Centers for Medicare and Medicaid Services to revise access to Medicaid for pretrial detainees who've been arrested but not tried or convicted. (Feshir, 2/9)

[Washington] State Health Care officials say they'll be notifying 91,000 Medicaid clients they've been affected by a data breach. Officials with the Washington State Health Care Authority today said they discovered that the private information of 91,000 Apple Health clients was mishandled by two employees. The information includes clients’ Social Security numbers, dates of birth, Apple Health client ID numbers and private health information. (Henderson, 2/9)

More than 91,000 people enrolled in Washington state’s Apple Health Medicaid program are being notified that their medical records may have been handled improperly, officials said Tuesday. Two state employees — a woman who worked for the state Health Care Authority (HCA) and her brother, who worked for the Department of Social and Health Services (DSHS) — apparently exchanged emails for nearly two years that contained private health information from Medicaid clients, said Steve Dotson, HCA risk manager. (Aleccia, 2/9)

The state’s Medicaid program is on pace to come in under budget for the third consecutive fiscal year, state health officials told legislators Tuesday. Trey Sutten, the finance director for the state Medicaid program, said the program was $181 million, or 9.3 percent, under budget through Dec. 31. Medicaid covers about 1.9 million North Carolina residents and is a $14 billion a year program. Sutten said there are three factors for the current budget status: lower service consumption by beneficiaries; flat enrollment levels being below budget projections; and lower costs driven by changes in population profile, clinical policy and legislation. (Craver, 2/9)

North Carolina's Medicaid finances are continuing to run under budget thanks to essentially flat enrollment growth and less-than-anticipated medical expenses and use of services. The Division of Medical Assistance told a General Assembly oversight committee Tuesday state spending on Medicaid was $181 million below the nearly $2 billion set aside for the first six months of the fiscal year ending Dec. 31. (2/9)

Flint's water crisis, after a switch in the source allowed dangerous levels of lead and potentially caused deadly cases of Legionnaires' disease, could result in criminal charges as serious as involuntary manslaughter, a top investigator said Tuesday. The emergency will prompt Gov. Rick Snyder to propose another $195 million in aid in his annual budget proposal on Wednesday, including $25 million to potentially replace old lead and copper pipes. The proposal comes on top of $37 million in emergency funding already set aside to address the crisis. (Eggert, 2/9)

State health officials today defended their response to the Legionnaires' disease outbreak in Flint, discounting concerns that infighting hurt public health. "We rely on strong relationships with our partners at the local level including primary care providers, community organizations, health plans, and most importantly our local health departments,” Nick Lyon, director of the Michigan Department of Health and Human Services, said in a statement. (Wisely and Anderson, 2/9)

Gov. Rick Snyder on Wednesday is expected to request an additional $195 million to bring back safe drinking water to Flint and treat its impacted residents after highly corrosive water drawn from the Flint River leached lead throughout the city's drinking water system, according to a person familiar with the budget. (Dolan, Gray and Spangler, 2/9)

Some central Ohio consumers say a Westerville-based health insurer intended to keep quiet about its plan to drop OhioHealth hospitals and doctors from its provider network until it was too late for many of its enrollees to change their health plan. (Sutherly, 2/10)

A Senate committee Tuesday approved a bill that could help boost efforts to build new or replacement hospitals in rural counties. Approved by the Senate Health Policy Committee, SB 236 would expand an exemption to the state's "certificate of need" regulatory process for hospital construction or expansion projects. The state currently has a narrow exemption that applies to hospitals in counties with populations of 15,000 to 18,000 people and densities of fewer than 30 people per square mile. (2/9)

Arizona on Tuesday moved a step closer toward joining 49 other states that publicly fund health-insurance coverage for children in low-income families. The Arizona House Health Committee advanced House Bill 2309, which would resume enrollment under the KidsCare health-insurance program for low-income families. (Alltucker, 2/9)

Zack Cooper recently co-authored a high-profile paper linking higher hospital prices to market power. He’s advocated for strong antitrust enforcement when it comes to health care consolidation. But when his father was very sick, Cooper said he wanted him to go to a large medical center that treated a high volume of patients with the same condition. (Levin Becker, 2/10)

Tampa-based WellCare Health Plans, which covers about 900,000 Floridians in the Medicaid and Medicare programs, saw an uptick in net income during the fourth quarter of 2015, according to an earnings report released Tuesday. WellCare is a major player in Florida's Medicaid managed-care system. As of Dec. 31, it included 781,000 Florida Medicaid beneficiaries, up from 722,000 a year earlier. Its Medicare Advantage plans also included 107,000 people in Florida, the release said. (Shedden, 2/9)

Steve Feinstein was superintendent of Osawatomie State Hospital from 1994 to 1998. He has a Ph.D. in psychology and got involved in mental health issues when he was hired to run a state mental hospital in eastern Oregon. Although he’s retired now, the Louisburg resident continues to pay close attention to what’s going on at Osawatomie, one of two state-run hospitals for Kansans with severe and persistent mental illness. In a recent interview, he spoke to Dan Margolies about the Kansas hospital’s recent troubles. (Margolies, 2/9)

Minnesota's effort to shift primary care from treating illness to improving patient health is paying off — handsomely. A University of Minnesota evaluation of so-called "health care homes" shows the team-based approach to care has saved state and federal taxpayers $1 billion. The evaluation also found that health care homes improve the quality of care. (Benson, 2/9)

Pontiac's long-struggling Doctors' Hospital of Michigan could soon emerge from bankruptcy after a judge this week approved a reorganization plan that would sell metro Detroit's last remaining independent hospital to a family-run private equity firm. The firm, called Sant Partners, says it intends to expand the hospital's medical services and provide better overall management to return to profitability. The hospital's current CEO will remain in place but take a pay cut. (Reindl, 2/8)

Faced with ongoing massive operating losses, Franciscan St. James Health aired its plan to end inpatient services at its Chicago Heights hospital to a hearing Tuesday held by the Illinois Health Facilities and Services Review Board. That board is tentatively scheduled to vote March 29 on the proposal, which calls for boosting outpatient services at that hospital while expanding St. James' Olympia Fields hospital as well as its Franciscan ExpressCare urgent care center in Chicago Heights. (Nolan, 2/9)

State Surgeon General John Armstrong, who heads the Florida Department of Health, has faced scrutiny from lawmakers recently on a number of high-profile issues. The issues include the state's rising HIV rate, cuts to county health departments and 9,000 kids who lost places in the Children's Medical Services program --- which serves youngsters with "serious and chronic" conditions --- under a new eligibility screening process last year. (Menzel, 2/9)

A legislative hearing Tuesday on a bill to prohibit Kansans under 18 from using commercial tanning beds produced emotional testimony from cancer victims and sharp exchanges between lawmakers and the proposal’s lone opponent. And it seemed clear by the hearing’s end that the bill had the support of several lawmakers who normally would be troubled by the prospect of regulating private businesses. (McLean, 2/9)

President Obama's proposed budget for fiscal 2017 met instantaneous rejection from the Republican Congress, unsurprisingly, given that it’s basically a blueprint for more active government paid for with higher taxes. Though predictable, the GOP’s refusal to hold a hearing on Mr. Obama’s budget was gratuitously contemptuous; and it was regrettable in substantive terms, as some of Mr. Obama’s structural proposals, such as a 28 percent rate cap on individual tax deductions and $375 billion worth of savings in federal health-care spending, merit debate. Congress may grant some of Mr. Obama’s requests, such as larger tax credits for low-income workers and $1.1 billion in new funding to fight drug addiction. For the most part, though, this document amounts to little more than Mr. Obama’s final statement of fiscal priorities before his successor takes over 11 months from now. (2/9)

Their decision is more than a break with tradition. It is a new low in Republican efforts to show disdain for Mr. Obama, which disrespects the presidency and, in the process, suffocates debate and impairs governing. Mr. Obama’s budget proposes to spend $4 trillion in the 2017 fiscal year (slightly more than for 2016). That total would cover recurring expenses, including Medicare and Social Security, as well as new initiatives to fight terrorism, poverty and climate change, while fostering health, education and environmental protection. If Republicans find those efforts objectionable — as their refusal to even discuss them indicates — they owe it to their constituents and other Americans to say why. (2/9)

The essence of Mr. Sanders’s version of liberalism is government programs. Expansive initiatives that provide benefits to “a broad cross-class constituency,” as the Harvard political sociologist Theda Skocpol puts it, such as Social Security and Medicare, are not only good policy, they’re at the heart of liberal politics. They remind citizens of the essential role of government in providing security and economic opportunity. And they anchor voters to the party that backs those programs. ... That’s the theory, anyway, and it’s deeply embedded in Mr. Sanders’s approach. His proposals for single-payer health care, free college tuition and paid family leave financed through a small payroll tax reflect the view that successful programs should be universal and create a connection between individuals and government. (Mark Schmitt, 2/9)

We live in a different time. If the U.S. were to embark on a single-payer system today, as Bernie Sanders proposes, it would not be doing so to expand access—though that slogan would still be used—but for a very different reason: to deny and limit care in order to control spending. This agenda would be popular with neither patients nor providers, and therefore would be dead in the water—as liberal authorities, from the New York Times’s Paul Krugman to Henry J. Aaron of the Brookings Institution, have suddenly discovered an urgency to point out to Democratic voters infatuated with Bernie Sanders. Mr. Sanders knows it too. His socialism is farcical in a country that can’t afford the entitlements it already has. (Holman W. Jenkins Jr., 2/9)

Is Hillary Clinton recalibrating her position on abortion as she seeks the 2016 Democratic presidential nomination? It sure looks that way. In her last presidential run in 2008, Clinton said that she thought abortion should be “safe, legal and rare, and by rare, I mean rare.” She added that abortion “should not in any way be diminished as a moral issue,” and portrayed the choice to have an abortion as a wrenching one for “a young woman, her family, her physician and [her] pastor.” (Michael McGough, 2/9)

Melissa Crews has always voted Democratic, though her husband is a staunch Republican. This year, the family split is coming to an end: Melissa is switching sides, and heroin is the principal reason. Crews is board chair at Hope for New Hampshire Recovery, a nonprofit she helped set up last year to battle the state's heroin epidemic. New Hampshire was third in the nation in death rates from overdoses in 2014 (the latest year for which data are available from the Centers for Disease Control and Prevention) and in the top 10 for the use of illicit drugs other than marijuana. People who work for local nonprofits fighting the rising drug use say at least 100,000 of the state's 1.3 million people need help with addictions. (Leonid Bershidsky, 2/9)

It requires a special kind of bigotry to blame black people and Mexicans when whites decide to use drugs. But racial attitudes also drive the current compassion for white drug users. Too bad that empathy wasn't there when addiction was seen as a black thing. (Jones, 2/9)

Media coverage of the primary in New Hampshire has underlined an unwelcome and alarming fact: There is an epidemic in the use of heroin in New Hampshire. How come? Haven’t we had a war on drugs for the past 40 years? Why hasn’t it been as effective as the war on smoking? (George P. Shultz, 2/9)

The system for pricing prescription drugs in the U.S. is a bit of a disaster. Our reliance on medical insurance means that pricing is not based on consumer demand or ability to pay. Nor is it exactly based on negotiations with insurers: "Medicare, one of the biggest buyers of prescription drugs, is prohibited from negotiating drug prices with pharmaceutical companies." The "expensive and time-consuming process of getting F.D.A. approval" to sell generic drugs deters competition and allows approved manufacturers to charge whatever prices they want. These are systemic problems, which were created by legislation and regulation, and which demand legislative solutions. So yesterday a House committee convened a hearing to consider these problems and try to come up with a comprehensive solution. (Matt Levine, 2/8)

The axiom of Silicon Valley is that companies that move fast, break things and grow like weeds are winners. The corollary is that some technology startups move too fast and break.The latest Silicon Valley cautionary tale is Zenefits, which makes software to automate human resources chores for small businesses and sells employee health insurance plans. Following reports by BuzzFeed and other news outlets that Zenefits allowed workers to sell insurance even if they didn’t have state licenses to do so, the company said founder Parker Conrad had stepped down as CEO and as a director. (Shira Ovide, 2/9)

With the Rio Olympics six months away, Brazil is battling an outbreak of Zika virus that has infected an estimated 1.5 million people. The infection is linked to microcephaly, a congenital condition in which babies are typically born with underdeveloped brains. The World Health Organization has declared the Zika outbreak “a public health emergency of international concern." ... While Ebola ultimately burned out after claiming the most vulnerable victims, Zika’s easier transmission, and less-deadly outcome, means it will propagate much more widely. Ebola revealed that after enormous investment in global public health, we remain unprepared to mobilize the basic resources to isolate and contain infectious diseases. (Scott Gottlieb, 2/9)