Thursday, March 29, 2018


Viewpoints: Maintaining A Strong VA Is Essential; Apply Political Lessons From HIV Crisis To Opioid Epidemic

Opinion writers concentrate on these and different well being subjects.


The New York Times:
David J. Shulkin: Privatizing The V.A. Will Hurt Veterans


It has been my biggest skilled honor to serve our nation’s greater than 20 million veterans. Virtually three years in the past, I left my personal sector job operating hospitals and got here to Washington to repay my gratitude to the women and men who put their lives on the road for our nation. I consider strongly within the mission of the Division of Veterans Affairs, and nothing about my political expertise in Washington might ever change that. I additionally consider that sustaining a robust V.A. is a vital piece of the puzzle that’s the USA’ nationwide safety system: We will solely anticipate our little kids to danger their lives and battle for our freedom if we will maintain our promise to look after them once they return residence damaged, injured or traumatized. (David J. Shulkin, three/28)


USA Today:
Opioid Crisis: Congress Needs To Step Up And Pass Legislation


In 2017, the Facilities for Illness Management and Prevention (CDC) warned that life expectancy in america dropped for the second yr in a row — and drug overdoses are the only largest cause why.
As states and communities on the entrance strains wrestle to answer the opioid disaster, Washington has solely nibbled across the edges. Politicians and policymakers make obscure guarantees, treating the disaster as if it’s a novel, intractable drawback. It’s neither. America has addressed this type of public well being emergency earlier than, and we name on Congress to take action now. (Elizabeth Warren and Elijah Cummings, three/28)


Portland Press Herald:
On Affordable Care Act Fixes, Sen. Collins’ Perceived Clout Came Up Short


How sure Sen. Susan Collins appeared that day again in December. How assured that her political leverage, deftly utilized to her fellow Republicans’ teetering tax-reform invoice, finally would save numerous People from dropping entry to well being care. Wanting again, how colossally incorrect she turned out to be. …Briefly, with the issuance of latest annual premiums looming in October, the ACA is about to go over a cliff. And because it goes, talking of penalties, so will go hundreds of thousands of People whose well being care hangs within the stability. (Invoice Nemitz, three/29)


The Washington Post:
Trump’s Transgender Troop Ban Is As Insidious As Ever


President Trump introduced a ban on transgender individuals within the army with a collection of tweets final yr that stunned many, together with senior army leaders. There had been no research, no evaluation, no session. That arbitrariness was one cause 4 federal judges have briefly blocked the coverage from going into impact. So when the newest iteration of the ban was rolled out final week, the White Home made some extent of stressing that it was accompanied by a forty four-web page Protection Division report and had the backing of Protection Secretary Jim Mattis. (three/28)


The New York Times:
Trump’s Heartless Transgender Military Ban Gets A Second Shot


It typically appears that there isn’t any finish to President Trump’s merciless willpower to rework America into a rustic that divides and dehumanizes its individuals. After his denigration of Muslims, refugees and undocumented immigrants, the newest instance of this disgraceful proclivity is a presidential coverage banning most transgender individuals from serving within the army — the second try to take action in lower than a yr. It places hundreds of servicemen and servicewomen vulnerable to dropping their careers and means numerous others might by no means get an opportunity to placed on the uniform. (three/28)


The Hill:
Rick Santorum Ironically Uses CPR To Resuscitate The Voice Of Doctors


On Sunday, former Pennsylvania GOP Senator Rick Santorum advised throughout CNN’s State of the Union that college students protesting gun violence shouldn’t petition the federal government for change however ought to as an alternative take CPR courses. …Often simply ancillary to the dialogue on gun violence, docs, nurses, and emergency medical technicians this time took middle stage of their condemnation of Santorum’s infuriating and deceptive assertion. They sparked a nationwide dialog concerning the precise lifesaving measures for gunshot victims in addition to their very own private experiences treating sufferers. (Eugene Gu, three/28)


JAMA:
Mentoring In The Era Of #MeToo


Within the wake of the inspiring however extremely upsetting #MeToo motion, I discover myself involved not just for the ladies who’ve already skilled sexual harassment, and positively there are lots of, but in addition for these but to return. Some will sadly expertise the identical ache, worry, humiliation, and stigma of sexual harassment because the tales being delivered to mild by the courageous ladies who’ve been reporting their experiences at present. As well as, I fear concerning the potential for gender-based mostly neglect, an unintended backlash in response to this vibrant mild. (Julie Story Byerley, three/27)


Georgia Health News:
Georgia Legislature Must Act Now On Surprise Bills, And Here’s How


Underneath Home Invoice 314 (HB 314), which handed the Senate for the second time on March 23 – an earlier model handed unanimously in February – insurance policy can be required to pay for these sudden out-of-community care conditions by means of direct and truthful funds to docs. This answer will put an finish to shock payments for sufferers for emergency care whereas additionally growing transparency and establishing a dispute decision course of for different sudden payments. (Brent Cannon and John Palmer, three/28)


The Wall Street Journal:
This Warning May Cause Severe Anxiety


Massive Pharma has had many grand successes—from correcting erectile dysfunction to masking bald spots on the president’s head. However its TV commercials are beginning to make me sick. Throughout the dial, however particularly on cable information, it’s onerous to keep away from drug advertisements during which the dominant theme appears to be a danger of sudden demise. Worse, if the prescription doesn’t kill you, there’s an opportunity you’ll merely kill your self. (Peter Funt, three/28)


JAMA:
A Path To Sustain Rural Hospitals


On January 12, 2017, the Facilities for Medicare & Medicaid Providers (CMS) and the Commonwealth of Pennsylvania introduced the launch of the Pennsylvania Rural Well being Mannequin. This system supplies rural hospitals a chance to transition from a charge-for-service reimbursement system based mostly on quantity to a multipayer international finances cost technique that’s meant to enhance inhabitants well being outcomes and high quality of care whereas decreasing prices. Whereas rural hospitals present important well being care providers for fifty seven million individuals throughout the nation, the power to realize monetary stability is troublesome for some hospitals. …Over the previous 7 years, eighty three of 2244 rural hospitals in the USA have closed. One evaluation means that with out intervention, an estimated 673 rural hospitals in america can also shut over the subsequent 5 years. (Karen M. Murphy, Lauren S. Hughes and Patrick Conway, three/27)


JAMA:
Eroding Access And Quality Of Childbirth Care In Rural US Counties


Though it’s troublesome to think about a well being care service that’s extra beneficial to society than childbirth, US hospitals typically lose cash once they present native childbirth providers for wholesome moms. This discrepancy is a serious flaw within the design of the maternal well being system that could be the idea for lagging delivery outcomes in america in contrast with different excessive-revenue nations. (Neel T. Shah, three Congenital Defects

Zika stays a well being menace in the USA, and public well being methods are important to monitoring the complete impact of congenital Zika virus an infection on infants and youngsters. As a result of some wholesome infants born following pregnancies difficult by Zika might have developmental issues that turn into evident later, developmental milestones must be intently monitored all through the kid’s first years of life. (Brenda Fitzgerald, Coleen Boyle and Margaret A. Honein, three/27)


Boston Globe:
Could Hip Surgery Have Saved Tom Petty And Prince?


It’s potential that Invoice Harris might have saved Tom Petty’s life, and Prince’s too. However they didn’t ask him. Wait a minute. . . . What does a retired Harvard Medical Faculty professor should do with the titans of rock and roll? Let me clarify. Tom Petty died of an unintentional drug overdose final yr. An post-mortem discovered three sorts of fentanyl and oxycodone in his system, all of them highly effective and addictive painkillers. His spouse and daughter revealed that Petty had been performing tour dates — fifty three of them — with a fractured hip. “Regardless of this painful damage he insisted on retaining his dedication to his followers and, as he did, it worsened to a extra critical damage,” Dana Petty and Adria Petty stated in a press release. “On the day he died he was knowledgeable his hip had graduated to a full-on break, and it’s our feeling that the ache was merely insufferable and was the trigger for his over use of treatment.” (Alex Beam, three/28)


Bloomberg:
Sugar Tax: A New U.K. Levy On Sugary Drinks Is A Promising Start


Sugar hasn’t simply performed its half in Britain’s status for tea, desserts and dangerous tooth; it’s additionally a serious contributor to the nation’s weight problems and diabetes disaster. …It’s a problem you may assume would weigh on the thoughts of Prime Minister Theresa Might, herself a diabetic, although not a recognized sugar addict. In truth, Might has been, at greatest, an element-time flagbearer for sugar consumption discount, having scrapped such a tax as certainly one of her first strikes in 2016, a cave-in to heavy business strain. That may hopefully change this April, when a tax on sugary merchandise — introduced final yr by Chancellor Philip Hammond because the Smooth Drinks Business Levy — comes into impact.( Richard Martyn-Hemphil, three/29)


JAMA:
Infectious Diseases Mortality In The United States: Ongoing Investment Needed For Continued Progress


Infectious illness is distinguished from most different fields of drugs by fixed and speedy change. As microorganisms emerge, new remedy and prevention methods additionally evolve. Though a lot progress has been made, infections stay a serious and sometimes preventable reason for dying worldwide. On this concern of JAMA, el Bcheraoui and colleagues report mortality developments for main infectious illnesses in america, each nationally and on the county degree, utilizing knowledge from the Nationwide Middle for Well being Statistics. In one of many first research of its variety, the authors used deidentified dying data to look at mortality developments for the most typical causes of infectious illnesses mortality, together with decrease respiratory an infection, diarrheal illness, HIV/AIDS, hepatitis (excluding persistent hepatitis B and C), meningitis, and tuberculosis. (Emily Okay. Shuman and Preeti N. Malani, three/27)

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