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Morning Briefing

Summaries of health policy coverage from major news organizations

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Wednesday, Feb 21 2024

麻豆女优 Health News Original Stories 3

  • 鈥楩ourth Wave鈥 of Opioid Epidemic Crashes Ashore, Propelled by Fentanyl and Meth
  • Death and Redemption in an American Prison
  • Listen to the Latest '麻豆女优 Health News Minute'

Covid-19 1

  • Long Covid Is More Common Among Young Adults Than Older Americans

Public Health 1

  • New Study Highlights Cancer-Causing Properties Of US Food Additives

Capitol Watch 1

  • White House Announces Funding For Clean Water, Women's Health Projects

Public Health 1

  • Efforts To Diagnose Symptomless Alzheimer's Early Are In The Spotlight

Science And Innovations 1

  • Over Half Of Antibiotics VA Dentists Prescribe Are Unnecessary: Study

Health Industry 1

  • Teledoc Health Looks At Expanding Overseas To Offset US Costs

State Watch 1

  • GOP Prosecutor Pushes For Fast Decision On Wisconsin Abortion Ban

Editorials And Opinions 1

  • Viewpoints: Changes Needed In How We Treat Opioid Addiction; ACA Is A Success That Should Be Expanded

From 麻豆女优 Health News - Latest Stories:

麻豆女优 Health News Original Stories

鈥楩ourth Wave鈥 of Opioid Epidemic Crashes Ashore, Propelled by Fentanyl and Meth

A report based on millions of urine drug tests found the United States is facing a rise in the use of multiple drugs at once, which not only is often more deadly but complicates treatment efforts. ( Colleen DeGuzman , 2/21 )

Death and Redemption in an American Prison

More than a quarter century after an inmate helped start a hospice program in one of the nation鈥檚 most notorious prisons, he is trying to spread the idea. ( Markian Hawryluk , 2/21 )

Listen to the Latest '麻豆女优 Health News Minute'

鈥淗ealth Minute鈥 brings original health care and health policy reporting from the 麻豆女优 Health News newsroom to the airwaves each week. ( 1/7 )

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Summaries Of The News:

Covid-19

Long Covid Is More Common Among Young Adults Than Older Americans

Census Bureau data shows that 1 in 4 people infected with the covid virus experienced symptoms for longer than 3 months 鈥 or what's known as long covid. The age group with the most cases of long covid is adults aged 25 to 39.

Nearly one in four adults who contracted COVID-19 developed long COVID symptoms, according to the聽most recent data from the Census Bureau. ... Anyone infected with COVID-19 can develop long COVID, but the condition is more common in people who had severe COVID-19 symptoms, as well as women, older adults, people with underlying health conditions and people who did not get vaccinated,聽according to the Washington state Health Department.聽(Chernikoff and Loehrke, 2/21)

Also 鈥

Seven years ago, the National Institutes of Health began a study of patients ... with the condition known as myalgic encephalomyelitis/chronic fatigue syndrome, or ME/CFS. ... Findings from the study, which was published on Wednesday in the journal Nature Communications, showed notable physiological differences in the immune system, cardio-respiratory function, gut microbiome and brain activity of the ME/CFS patients compared with a group of 21 healthy study participants. (Belluck, 2/21)

A new study based on 4,605 participants in the Michigan COVID-19 Recovery Surveillance Study shows that the prevalence of long COVID symptoms at 30 and 90 days post-infection was 43% to 58% lower among adults who were fully vaccinated before infection. The study appeared yesterday in the Annals of Epidemiology. The 30- and 90-day timeframes were meant to compare two different definitions of long COVID. (Soucheray, 2/20)

Alison Sbrana was in the belly of an opera when her life changed. Down in the pit, surrounded by fellow orchestra members, she鈥檇 been straining to play her flute for half the show. As performers overhead enveloped the audience in arias, Sbrana felt like the Hulk was pulling on the tendons in the right side of her neck. 鈥淚 begged anybody for meds at intermission,鈥 she said. (Cueto, 2/21)

In other news relating to covid 鈥

Today in聽 JAMA, researchers show that US renters who were served eviction notices in the first 2 years of the COVID-19 pandemic had a high proportion of excess deaths. Investigators from Princeton University and Rutgers University-Newark analyzed linked eviction and death records from January 2020 to August 2021, comparing them with projected death rates estimated from comparable records in 2010 to 2016. (Van Beusekom, 2/20)

A new study in JAMA Health Forum of national data on US registered nurses (RNs) finds that the rebound in the total size of the RN workforce during 2022 and 2023 indicates that RN labor shortages during the first 2 years of the pandemic were likely transitory. In 2021, the US RN workforce decreased by more than 100,000 employees, the largest single-year drop in 40 years.But by 2022, increases in RN hiring had picked up across the country. (Soucheray, 2/20)

Four major nonprofits that rose to prominence during the coronavirus pandemic by capitalizing on the spread of medical misinformation collectively gained more than $118 million between 2020 and 2022, enabling the organizations to deepen their influence in statehouses, courtrooms and communities across the country, a Washington Post analysis of tax records shows. Children鈥檚 Health Defense, an anti-vaccine group founded by Robert F. Kennedy Jr., received $23.5 million in contributions, grants and other revenue in 2022 alone 鈥 eight times what it collected the year before the pandemic began 鈥 allowing it to expand its state-based lobbying operations to cover half the country. Another influential anti-vaccine group, Informed Consent Action Network, nearly quadrupled its revenue during that time to about $13.4 million in 2022, giving it the resources to finance lawsuits seeking to roll back vaccine requirements as Americans鈥 faith in vaccines drops. (Weber, 2/21)

Public Health

New Study Highlights Cancer-Causing Properties Of US Food Additives

Newsweek covers new research out of France into links between common food additives found in U.S. ultra-processed foods and certain forms of cancer. Also in the news, Johnson & Johnson's blood cancer therapy gets FDA approval; Iowa has fastest-growing rate of new cancer in the U.S.; and more.

In the U.S, over half of our daily energy intake comes from ultra-processed foods. ... Increasingly, we are learning that these ultra-processed products are associated with an increased risk of obesity, cardiovascular disease, mental health problems, diabetes and certain forms of cancer. In a new study, published in the journal PLoS Medicine, researchers from France have found yet more evidence that common ingredients in these foods may increase our risk of certain cancers, especially breast and prostate cancers. (Dewan, 2/20)

In other cancer-related developments 鈥

The U.S. Food and Drug Administration has approved a bi-weekly dose of Johnson & Johnson's (JNJ.N), opens new tab blood cancer therapy Tecvayli, the drugmaker said on Tuesday. The approval allows the therapy to be used in a reduced dosing of 1.5 milligrams per kilogram every two weeks, in patients who have achieved and maintained a complete response or better for a minimum of six months. (2/20)

A new class of cancer treatments that harness the body's immune system to fight tumors is being hailed as the biggest thing in oncology since CAR-T revealed the promise of cell therapy more than a decade ago. But with price tags of hundreds of thousands of dollars, the drugs raise familiar concerns about affordability and access. (Reed, 2/21)

Pharmaceutical companies are spending billions of dollars to develop drugs that can target cancer like guided missiles.Therapies known as antibody-drug conjugates, which help deliver chemotherapy directly to tumors, have gotten most of the attention and are farthest along: Pfizer鈥檚 $43 billion acquisition of biotech Seagen Inc. last year underscored how hot the field has become.聽More quietly, a concept known as radiopharmaceuticals is also gaining ground. (Wainer, 2/20)

An estimated 21,000 Iowans will be diagnosed with cancer in 2024, according to an annual report that tracks yearly cancer trends. The annual Cancer in Iowa report by the Iowa Cancer Registry found Iowa has the fastest-growing rate of new cancers and the second-highest rate of new cancers in the country. It found the top new diagnoses will be breast, prostate and lung cancer, which are estimated to make up 40.5% of new cancer diagnoses. (Krebs, 2/20)

Capitol Watch

White House Announces Funding For Clean Water, Women's Health Projects

Vice President Kamala Harris announced on Tuesday that the federal government will distribute $5.8 billion to water infrastructure projects across the country. And the first lady, Dr. Jill Biden, will outline $100 million in planned federal spending for research and development initiatives into women's health.

The Biden administration announced Tuesday that states will share $5.8 billion in federal funds for water infrastructure projects around the country. ... Vice President Kamala Harris, who traveled to Pittsburgh to make the announcement, said everyone in the U.S. should be able to have clean water. ... The White House said Tuesday鈥檚 announcement includes $3.2 billion for what鈥檚 known as the Drinking Water State Revolving Fund that can be used for upgrades to water treatment plants, water distribution and piping systems, and lead pipe replacement. (2/20)

Jill Biden on Wednesday was announcing $100 million in federal funding for research and development into women鈥檚 health as part of a new White House initiative that she is heading up. The funding is the first major deliverable of the White House Initiative on Women鈥檚 Health Research, which was announced late last year. The money comes from the Advanced Research Projects Agency for Health, or ARPA-H, which is under the federal Department of Health and Human Services. (Superville, 2/21)

Some safety-net hospitals will receive lower Medicaid disproportionate share hospital payments under a final rule the Centers for Medicare and Medicaid Services published Tuesday. The regulation sets new restrictions on how Medicaid DSH payments are calculated and distributed, carrying out a congressional directive from the Consolidated Appropriations Act of 2021. (Kacik, 2/20)

In other news 鈥

An increasing number of medical device companies are submitting fabricated and unreliable data, the Food and Drug Administration noted Tuesday morning. The data comes from third-party labs hired by device firms to test the quality of their products. Triple-check your data or we鈥檒l reject your device, the FDA warned. (Lawrence, 2/20)

The amount of in-network care patients received across different specialties and settings jumped significantly as surprise billing protections took effect, according to a FAIR Health analysis shared first with Axios. (Reed, 2/20)

Usually the words generative AI in health are followed by a bold claim. The technology will transform some aspect of care delivery, save gobs of money, or automate administrative tasks crucial to connecting patients with timely services. Rohit Chandra, chief digital officer of the Cleveland Clinic, said generative AI can accomplish all these things. But he also said this: 鈥淗arm is not just likely. It is for sure going to happen.鈥 (Palmer and Ross, 2/21)

A U.S. appeals court revived a controversial lawsuit brought by nearly two dozen people who claimed they were harmed by a contaminated rare disease medicine sold by a Sanofi subsidiary and a subsequent rationing plan that only worsened their health. And if some upcoming procedural hurdles are cleared, the suit may shine a light on an unusual patient dilemma when a drug is in short supply. (Silverman, 2/20)

Public Health

Efforts To Diagnose Symptomless Alzheimer's Early Are In The Spotlight

The Los Angeles Times takes us inside the fight to diagnose Alzheimer's disease even among people with no memory complaints and normal cognition. Separately, WUFT reports on an outreach program in Florida to help those in rural communities needing Alzheimer's assistance.

In a darkened Amsterdam conference hall this summer, a panel of industry and academic scientists took the stage to announce a plan to radically expand the definition of Alzheimer鈥檚 disease to include millions of people with no memory complaints. Those with normal cognition who test positive for elevated levels of certain proteins that have been tied to Alzheimer鈥檚 鈥 but not proven to cause the disease 鈥 would be diagnosed as having Alzheimer鈥檚 Stage 1, the panel members explained. (Petersen, 2/20)

It鈥檚 a Thursday afternoon in Gainesville and there鈥檚 a 40-foot-long purple bus parked inside the lot of a busy Publix grocery store. Rob Harris yells, 鈥淗i, come on in.鈥 This is the Brain Bus and it鈥檚 run by the Alzheimer鈥檚 Association. Rob Harris drives the bus up and down the entire state of Florida giving out information on Alzheimer鈥檚 and dementia to people looking for help. (Penello, 2/20)

In other public health news 鈥

People who spend too much time glued to movies, TV shows, or YouTube videos may be more prone to needing to pee during the night, research has found. Nocturia, or the need to pee multiple times during the night, may be linked to spending 5 or more hours a day watching movies, TV, or videos online, according to a new paper in the journal Neurourology and Urodynamics. (Thomson, 2/21)

Your diet could be increasing your risk of dangerous snoring and sleep problems, a new study has warned. ... As many as 1 billion people around the world suffer from sleep apnea, studies have shown. It affects roughly 1 in 5 individuals with obesity. Sleep apnea is often accompanied by loud snoring, unexplained fatigue and mood swings. However, in the long run it has also been linked to heart disease and metabolic conditions like diabetes, Johns Hopkins Medicine reports. (Dewan, 2/20)

On news about measles 鈥

More than half the world's countries will be at high or very high risk of measles outbreaks by the end of the year unless urgent preventative measures are taken, the World Health Organization warned on Tuesday. Measles cases have been increasing across most regions mainly due to missed vaccinations during the COVID-19 years when health systems were overwhelmed and fell behind on routine vaccinations for preventable diseases. (2/21)

The Florida Department of Health said it investigating after a Broward County elementary school confirmed a fifth case of the measles on Monday. The Broward school district said it conducted a deep cleaning of Manatee Bay Elementary in Weston over the weekend and replaced its air filters. (Cabrera, 2/20)

Flu activity remains elevated in many parts of the Northern Hemisphere, though detections have declined at the global level, the World Health Organization (WHO) said in its latest update, which roughly covers the last week of January and the first days of February. Hot spots include parts of Europe and Central Asia, with very high activity reported from Russia and Slovakia. The 2009 H1N1 virus is dominant, and hospitalizations are elevated but stable. In North America, flu levels are still elevated, with slight influenza B rises in the United States and Canada. (Schnirring, 2/20)

More than half of U.S. newborns now appear to be protected by new RSV vaccines, according to updated Centers for Disease Control and Prevention data. The virus is considered the second leading cause of death worldwide during the first year of a child's life. The data suggests demand was strong despite broader vaccine skepticism and the potential for confusion over more childhood immunization options. (Bettelheim, 2/20)

Also 鈥

Marijuana contaminated with arsenic, lead or mold is causing serious, even life-threatening illnesses around the country as use of cannabis products explodes. People who have used marijuana have higher levels of heavy metals in their blood and are more likely to develop fungal infections, according to studies. Researchers have linked contaminants found in marijuana to cases of sudden-onset numbness, fatal lung bleeding and artery disease that resulted in amputations. (Armour, 2/20)

The US Food and Drug Administration has said that a menthol ban is a聽鈥渢op priority,鈥澛燽ut public health advocates have accused the Biden administration of dragging its feet, and the ban has gotten caught up in election-year politics despite research showing clear health benefits. The new research, published Wednesday in the journal Nicotine & Tobacco Research, looked at studies that have examined the effects of bans in more than 170 US localities, two states, several countries and the European Union. (Christensen, 2/21)

A Washington Post review of federal and state statistics shows that medical examiners and coroners are increasingly blaming deaths on kratom 鈥 it was listed as contributing to or causing at least 4,100 deaths in 44 states and D.C. between 2020 and 2022. The vast majority of those cases involved other drugs in addition to kratom, which is made from the leaves of tropical trees. Still, the kratom-involved deaths account for a small fraction of the more than 300,000 U.S. overdose deaths recorded in those three years. (Ovalle, 2/20)

Illicit fentanyl, the driving force behind the U.S. overdose epidemic, is increasingly being used in conjunction with methamphetamine, a new report shows. The laboratory Millennium Health said that 60% of patients whose urine samples contained fentanyl last year also tested positive for methamphetamine. Cocaine was detected in 22% of the fentanyl-positive samples. (Alltucker, 2/21)

麻豆女优 Health News: 鈥楩ourth Wave鈥 Of Opioid Epidemic Crashes Ashore, Propelled By Fentanyl And Meth

The United States is knee-deep in what some experts call the opioid epidemic鈥檚 鈥渇ourth wave,鈥 which is not only placing drug users at greater risk but is also complicating efforts to address the nation鈥檚 drug problem. These waves, according to a report out today from Millennium Health, began with the crisis in prescription opioid use, followed by a significant jump in heroin use, then an increase in the use of synthetic opioids like fentanyl. (DeGuzman, 2/21)

Science And Innovations

Over Half Of Antibiotics VA Dentists Prescribe Are Unnecessary: Study

Researchers looking into the use of antibiotics in Department of Veterans Affairs dentistry found that most do not have guidelines supporting their use and were likely unnecessary. Meanwhile, other researchers say the world's leading economies have work to do against antimicrobial resistance.

More than half of the antibiotics prescribed by dentists practicing in the Department of Veterans Affairs (VA) in 2019 do not have guidelines supporting their use and were likely unnecessary, researchers reported today in Infection Control & Hospital Epidemiology. ... "Regardless of definition applied, antibiotics prescribed by dentists were commonly unnecessary," the study authors wrote. "Improving prescribing by dentists is critical to reach the national goal to decrease unnecessary antibiotic use." (Dall, 2/20)

On other matters concerning antibiotics use 鈥

A new report indicates the world's leading economies have made progress in their efforts to address antimicrobial resistance (AMR) but need to do more to lessen the health and financial impact of the looming public health crisis. The report released yesterday by the Global Coalition on Aging and the Infectious Diseases Society of America (IDSA)鈥攖he 2024 AMR Preparedness Index Progress Report鈥攁ssesses the actions taken by 11 high-income nations to address AMR across five categories. (Dall, 2/16)

An analysis of Klebsiella isolates from US women treated for uncomplicated urinary tract infections (uUTIs) found a high prevalence of antimicrobial resistance (AMR), researchers reported this week in Antimicrobial Resistance & Infection Control. ... Although Escherichia coli is the most common cause of uUTIs, K pneumoniae causes approximately 6% of cases, and the study authors say that AMR surveillance for uUTIs is needed to enable physicians to provide optimal empiric antibiotic treatment for patients. (Dall, 2/16)

Pharmaceutical company Viatris announced today that its manufacturing site in India has received Minimized Risk of Antimicrobial Resistance (AMR) certification. The certification, developed by the British Standards Institution (BSI) in collaboration with the AMR Industry Alliance, provides third-party, independent verification that the antibiotic waste released into the environment by antibiotic manufacturing sites is below a threshold that could promote AMR in the environment. (Dall, 2/20)

Also 鈥

British drugmaker GSK (GSK.L), opens new tab said on Wednesday its long-acting injectable HIV therapy showed promise in keeping the viral load suppressed compared to daily oral treatment, especially in individuals facing challenges with pill intake. The interim analysis of a late-stage trial on the therapy known as Cabenuva demonstrated superior efficacy in maintaining viral load suppression compared to daily oral therapy in individuals with a history of adherence challenges to oral antiretroviral treatment, which is used to suppress and mitigate the progression of the disease. (2/21)

Emily Hollenbeck lived with a deep, recurring depression she likened to a black hole, where gravity felt so strong and her limbs so heavy she could barely move. She knew the illness could kill her. Both of her parents had taken their lives. She was willing to try something extreme: Having electrodes implanted in her brain as part of an experimental therapy. Researchers say the treatment 鈥- called deep brain stimulation, or DBS 鈥 could eventually help many of the nearly 3 million Americans like her with depression that resists other treatments. (Ungar, 2/21)

Adopting a聽healthy lifestyle聽could reduce the risk of irritable bowel syndrome, or IBS, a new study found. For adults in midlife and older who were physically active, got enough sleep, ate a quality diet, moderated alcohol intake or didn鈥檛 smoke, the risk for developing the gastrointestinal disorder dropped by up to 42%,聽according to the study published聽Tuesday in the journal Gut. (Nicioli, 2/20)

The PFAS-REACH study is looking to test whether exposure to PFAS 鈥 a group of man-made chemicals that have been linked to harmful health effects 鈥 changes how children鈥檚 immune systems respond to vaccines. Researchers were originally looking for children between 4 and 8 to participate in the study, but they have now expanded to include children from 11 to 15. (Hoplamazian, 2/20)

A meta-analysis of papers published during mpox epidemics from 1970 to 2023 suggests that symptoms in affected patients have become more diverse, with a decrease in symptoms other than rash. ...The 61 included studies reported on 21 symptoms in 720 mpox patients from period 1, 39 symptoms from 1,756 patients from period 2, and 37 symptoms from 12,277 patients from period 3. The findings were published late last week in JMIR Public Health and Surveillance. (Van Beusekom, 2/20)

In news on electric cars and health 鈥

Millions of childhood asthma attacks would be avoided and hundreds of infant lives saved by 2050 if the U.S. transitioned entirely to electric vehicles (EVs) powered by renewable energy, according to new research from the American Lung Association (ALA). (Muller, 2/20)

Hundreds of infants鈥 lives would be saved and millions of children would breathe easier across the US if the nation鈥檚 power grid depended on clean energy and more drivers made the switch to zero-emission vehicles, according to a new report from the American Lung Association. (Christensen, 2/21)

Health Industry

Teledoc Health Looks At Expanding Overseas To Offset US Costs

Modern Healthcare explains that the startup, which grew during the pandemic's social-distancing norms, is looking for business overseas to offset the high costs of advertising in the U.S. in order to attract new customers. Also in the news: AbbVie, Yale New Haven Health, Cost Plus Drugs, and more.

Teladoc Health is looking to broaden its overseas user base to offset persistently high customer acquisition costs affecting its direct-to-consumer business in the U.S. Teladoc is expanding efforts to sell its BetterHelp virtual therapy subscription services to consumers in Canada, the United Kingdom and other predominantly聽English-speaking countries, CEO Jason Gorevic said on a call Tuesday with investor analysts. (Perna, 2/20)

On industry hiring news 鈥

AbbVie announced Tuesday that CEO Richard Gonzalez, who has managed the company鈥檚 ascent since it was spun off from the device maker Abbott Laboratories in 2013, will step down in July. Gonzalez had previously said he would depart when AbbVie had a plan in place to move on from its best-selling drug, Humira, which is now facing competition from cheaper biosimilars. (Herper, 2/20)

AbbVie (ABBV.N), opens new tab on Tuesday said Chief Operating Officer Robert Michael would succeed Richard Gonzalez to become the second-ever CEO of the drugmaker on July 1. Gonzalez, 70, who has been at the company's helm since it was formed through a spin-off from Abbott (ABT.N), opens new tab in 2013, will become executive chairman of AbbVie's board once he steps down. (Wingrove, 2/20)

Yale New Haven Health has promoted聽Pamela Sutton-Wallace to be its president, effective immediately. Sutton-Wallace, who became Yale New Haven's chief operating officer聽in July 2022, will take over responsibilities as president from CEO Christopher O'Connor, a spokesperson for the nonprofit said Tuesday. O'Connor was named president in 2020 and CEO in 2022. (Hudson, 2/20)

Mark Parkinson will depart the American Health Care Association/National Center for Assisted Living in 2025 after 14 years at the helm, the long-term care provider association announced Tuesday. Parkinson, 66, will remain president and CEO until his retirement on Jan. 15, and the AHCA/NCAL board has commenced its search for a successor, the trade group said in a news release. Modern Healthcare named Parkinson one of the 100 Most Influential People in Healthcare in 2023 and several prior years. (McAuliff, 2/20)

Also 鈥

Bayer is the latest name-brand drugmaker to dip its toe into the world of Mark Cuban's online pharmacy, Cost Plus Drugs.The website offers drugs at steep discounts bypassing middlemen called pharmacy benefit managers. It mostly sells generics, but has been slowly adding brand name products as well. Yaz birth control pills and Climara, a hormone patch for menopause, will both now be available for a fraction of their list prices, including Cost Plus's standard 15% markup and shipping. (Lupkin, 2/19)

Fresenius reported a swing to a net loss for the fourth quarter due to the deconsolidation of Fresenius Medical Care from its accounts, but forecast growth in earnings and sales for 2024. The German health-care company on Wednesday posted a net loss for the fourth quarter of 614 million euros ($663.6 million) compared with a net profit of EUR255 million in the same period of the previous year. The company said the loss mainly reflected the valuation effect arising from the deconsolidation of Fresenius Medical Care, which had no cash impact. (Kienle, 2/21)

Fresenius Medical Care's (FMEG.DE), opens new tab shares fell 5% on Tuesday, despite upbeat quarterly results and higher 2024 guidance, with analysts highlighting a weak outlook for patient volumes from the German dialysis specialist. U.S. competitor Da Vita (DVA.N), opens new tab last Tuesday forecast a 2024 outlook above expectations, forecasting patient volumes would increase by 1% to 2% during the year, while FMC targeted growth of 0.5% to 2%, analysts at Barclays said. (Sychev and Holzhaeuser, 2/21)

Fresenius (FREG.DE), opens new tab reported a 13% jump in fourth-quarter operating profit on Wednesday, above market expectations, citing good earnings development across its businesses and progress in the operational turnaround at its hospital project development unit Vamed. The diversified healthcare group reported quarterly earnings before interests and taxes, and before special items, of 634 million euros ($685 million), 7% above analysts' expectations of 591 million in a poll compiled by Vara Research. (2/21)

Medical device maker Medtronic (MDT.N), opens new tab raised annual profit forecast for the third time this fiscal year, after beating third-quarter expectations on Tuesday, helped by higher demand for its heart and diabetes devices. Demand for medical devices has picked up pace as non-urgent procedures, which were deferred during the pandemic, recovered in the past year with easing hospital staff shortages and people becoming regular with check-ups. (Santhosh and Sadhamta, 2/20)

An executive at a medical device company has been convicted in Minnesota of insider trading for a scheme involving negotiations for the acquisition of the firm that was valued at $1.6 billion, federal prosecutors said Tuesday. Doron Tavlin was a vice president for business development at the Minneapolis office of Mazor Robotics in 2018 when he learned that the company could be purchased by Israeli-based Medtronic, Inc., according to a statement from the U.S. Attorney鈥檚 Office. ... Mazor specializes in robotics for spinal procedures. (2/21)

Outside, the August sun wasn鈥檛 yet visible through the thick folds of fog blanketing the San Francisco skyline. Its warmth did not reach the operating room tucked into the sprawling Parnassus Heights hospital complex. In there, the light was all cold and blue fluorescence washing over the sea of scrub caps huddled around an anesthetized young woman on a gurney. (Molteni, 2/21)

UChicago Medicine and Dr. Husam H. Balkhy, a robotic heart surgeon at the health system, are the subject of a lawsuit alleging negligence in the heart procedure, and subsequent death, of Silver Cross Hospital CEO Ruth Colby. Clifford Law Offices said in a press release it filed a complaint in Cook County Circuit Court against the University of Chicago Hospitals & Health Systems and Balkhy on behalf of Colby's son, David Chodak. (Asplund, 2/20)

State Watch

GOP Prosecutor Pushes For Fast Decision On Wisconsin Abortion Ban

Wisconsin Attorney General Josh Kaul, a Democrat, had filed a lawsuit arguing the 174 year-old state abortion ban is too old, but Sheboygan County District Attorney Joel Urmanski, a Republican, is pushing the state's Supreme Court to decide on the matter without waiting for a lower court ruling.

A Republican prosecutor asked the Wisconsin Supreme Court on Tuesday to decide whether a 174-year-old state law bans abortion in the state without waiting for a ruling from a lower appellate court. The U.S. Supreme Court鈥檚 2022 decision to overturn Roe v. Wade, the landmark 1973 decision legalizing abortion, reactivated an 1849 law that conservatives have interpreted as banning abortion. Wisconsin Attorney General Josh Kaul, a Democrat, filed a lawsuit arguing that the law is too old to enforce and conflicts with a 1985 law permitting abortions before fetuses can survive outside the womb. (Richmond, 2/20)

Iowa Gov. Kim Reynolds鈥 proposal to extend Medicaid pregnancy coverage from 60 days postpartum to a year after giving birth passed in the Senate Monday. Her bill would also lower the program鈥檚 income limit so fewer pregnant Iowans and infants would qualify for Medicaid, keeping government costs from significantly increasing. Sen. Mark Costello, R-Imogene, said this expands Medicaid for people who truly need public assistance. (Sostaric, 2/20)

New restrictions to abortion access in Wyoming could come out of the Legislature this session. Introduced last week, House Bill 148 would require clinics that provide surgical abortions in the state to be licensed as ambulatory surgical centers 鈥 also known as day surgery centers. For now, the law would only impact the Wellspring Health Access clinic in Casper, which is the only facility that provides surgical abortions left in Wyoming. (Clements, 2/19)

An Oklahoma bill that would create a database of every person who obtained an abortion is one step closer to becoming law. The so-called Oklahoma Right To Human Life Act, authored by state Rep. Kevin West, passed out of the Public Health Committee last week and moves to a full House vote next month. The bill would require the Oklahoma State Department of Health to create a database in which each patient is identified by a 鈥渦nique patient identifier鈥 to track how many abortions a patient has and when. That information and the identity of the patient could be released to authorities under a court order. (Shugerman, 2/20)

The state law has been interpreted as banning abortion after six weeks of pregnancy. Planned Parenthood argues the ban is vague and shouldn't apply until at least three weeks later in pregnancy. (Hansen, 2/20)

In the past decade, 14 rural hospitals in North Carolina have stopped providing maternity care. Betsy Johnson Hospital in Harnett County shuttered its labor and delivery unit in October 鈥 the most recent closure. Maintaining labor and delivery services at rural hospitals across North Carolina and the nation has become increasingly difficult as costs stay high, birth volumes stay low and staff gets harder to recruit and retain. More units are closing their doors, leaving women without a place to give birth close to home.聽Chatham County is bucking that trend.聽(Crumpler, 2/21)

Maryland state lawmakers on Tuesday announced $111 million in grant funding for child-serving organizations across the state to help them bolster their behavioral health service offerings, including counseling, early intervention and parent encouragement programs. (Roberts, 2/20)

In other news from across the country 鈥

The most stolen books from San Francisco public libraries鈥 shelves are not the hottest new novels or juicy memoirs, they are books about recovering from addiction. Now, city officials want to provide universal access to free drug recovery books, including Alcoholics Anonymous鈥 12-step recovery book. San Francisco City Supervisor Matt Dorsey on Tuesday introduced legislation to expand a pilot program to distribute addiction recovery books for free at the city鈥檚 28 public libraries. A record 806 people died of a drug overdose in the city last year. (Rodriguez, 2/21)

Local governments in the St. Louis area could request radioactive waste testing from the state under a Missouri House bill that would appropriate money to a long-unfunded program. The Missouri House Conservation and Natural Resources Committee on Monday heard testimony on a bill that would transfer $300,000 to a radioactive waste investigations fund created six years ago. Despite the fund passing the legislature in 2018 and being signed into law by Gov. Mike Parson, it has never had any money allocated to it. (Kite, 2/20)

麻豆女优 Health News: Death And Redemption In An American Prison

Steven Garner doesn鈥檛 like to talk about the day that changed his life. A New Orleans barroom altercation in 1990 escalated to the point where Garner, then 18, and his younger brother Glenn shot and killed another man. The Garners claimed self-defense, but a jury found them guilty of second-degree murder. They were sentenced to life in prison without parole. When Garner entered the gates at Louisiana State Penitentiary in Angola, Louisiana, he didn鈥檛 know what to expect. The maximum security facility has been dubbed 鈥淎merica鈥檚 Bloodiest Prison鈥 and its brutal conditions have made headlines for decades. (Hawryluk, 2/21)

Editorials And Opinions

Viewpoints: Changes Needed In How We Treat Opioid Addiction; ACA Is A Success That Should Be Expanded

Editorial writers tackle opioid use disorder, ACA, medical aid in dying, and more.

At 3 A.M., a high-pitched beep rang on my pager from a patient鈥檚 nurse. The page read: 鈥淧lease come to bedside ASAP. Patient agitated and threatening to leave AMA. Security on their way.鈥 (Zoe Adams, 2/19)

On its key objective 鈥 reducing the rate of uninsured Americans 鈥 Obamacare has been a clear success. Whereas 18.2 percent of non-elderly Americans lacked health coverage in 2010, only 9.2 percent were without it in the first three months of 2023, according to U.S. government survey data. (2/18)

Despite the painful memories, we are carrying on our sons鈥 legacies by urging Illinois lawmakers to pass the recently introduced Illinois End-of-Life Options for Terminally Ill Patients Act. The bill would allow mentally capable, terminally ill adults in Illinois with six months or less to live the option to obtain prescription medication they can decide to take for a peaceful death. (Nilsa Centeno and Suzy Flack, 2/20)

My latest trip to Davos, Switzerland, to participate in the World Economic Forum last month聽was a great affirmation of the power of collaboration and the promise of artificial intelligence to address health challenges around the globe, especially when it comes to expanding access to care and improving health equity. (Robert Garrett, 2/20)

Gun violence in the U.S. is a public health crisis. During a public health crisis, doctors have important roles and responsibilities. The U.S. gun epidemic is no exception. Many health professional organizations, including the American Medical Association and the American College of Physicians, recommend that primary care providers discuss firearm access and safety with adult patients. As gun deaths increase, it鈥檚 more important than ever for doctors to prioritize gun safety discussions with patients. But a recent study in the Journal of General Internal Medicine showed that the extent of this practice is unclear. (Jenna Jakubisin, 2/15)

When I accompany my father to his regular cardiologist appointment in Puerto Rico, worry and sadness always come along with us. While treatment has kept his health stable, I am still troubled that he always has to ask his doctor for medication samples. If he lived in any of the 50 states, Medicare would have provided coverage for his medical needs. But because he lived in Puerto Rico, Medicare is far less useful to him. (Mariela Torres Cintron, 2/21)

Groundbreaking research more than a decade ago showed that almost one-fifth of people enrolled in Medicare were being readmitted within 30 days after being discharged from the hospital, harming patients and increasing costs. (Rachel M. Werner, 2/20)

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