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Summaries of health policy coverage from major news organizations
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GOP Takes Aim at Medicaid, Putting Enrollees and Providers at Risk
Congressional Republicans are pushing plans that could make deep cuts to Medicaid to finance President Donald Trumps tax cuts and other priorities. At stake is coverage for millions of low-income Americans, as well as a huge revenue source for hospitals and every state.
What the Health? From 窪蹋勛圖厙 News: Medicaid in the Crosshairs, Maybe
President Donald Trump has said he wont support major cuts to the Medicaid health insurance program for people with low incomes, but he has endorsed a House budget plan that calls for major cuts, leaving the programs future in doubt. Meanwhile, thousands of workers at the Department of Health and Human Services were fired over the holiday weekend, from the National Institutes of Health, the FDA, and the Centers for Disease Control and Prevention, with possibly more cuts to come. Alice Miranda Ollstein of Politico, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Sarah Karlin-Smith of the Pink Sheet join 窪蹋勛圖厙 News Julie Rovner to discuss these stories and more.
Here's today's health policy haiku:
HURTING ON MULTIPLE LEVELS
Trump public health cuts
Anonymous
make it hard to fight bird flu.
Watch egg prices rise!
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Summaries Of The News:
Administration News
Trump Halts Vaccine Advisory Panel Meetings, Quashes 2 Other Committees
The Trump administration has directed the Centers for Disease Control and Prevention to indefinitely postpone a public meeting of its vaccine advisory panel, a key forum for the nations discussion of information about vaccine safety and effectiveness. The decision came Thursday from officials at the Department of Health and Human Services, CDCs parent agency, led by anti-vaccine activist Robert F. Kennedy Jr. who has long criticized the panel and the CDC. (Sun and Nirappil, 2/20)
President Donald Trump has terminated two advisory committees within the Department of Health and Human Services, one on long COVID and another on health equity at the Centers for Medicare and Medicaid Services. The advisory committees were cut in an executive order released late Wednesday night, Commencing the Reduction of the Federal Bureaucracy," that broadly seeks to cut unnecessary programs to decrease government waste and lower inflation. The order targets advisory committees and programs across federal agencies. (Beavins, 2/20)
HHS Secretary Robert F. Kennedy Jr. is preparing to remove members of the outside committees that advise the federal government on vaccine approvals and other key public health decisions, according to two people familiar with the planning. Kennedy plans to replace members who he perceives to have conflicts of interest, as part of a widespread effort to minimize what hes criticized as undue industry influence over the nations health agencies, said one of the people, who were granted anonymity to speak freely. (Cancryn, Gardner and Lim, 2/20)
On FDA leadership
Attorney Kyle Diamantas is expected to be announced as the new deputy commissioner for human foods at the US Food and Drug Administration following his predecessors resignation earlier this week, sources familiar with the decision said. Diamantas is registered as an attorney in Florida, and is currently listed as a special assistant in the FDA commissioners office, according to the Department of Health and Human Services employee directory. (Cohrs Zhang, Shanker and Edney, 2/20)
On research and funding cuts
A federal judge will hear arguments on Friday in the first hearing on three separate lawsuits filed to block the Trump administrations plan to sharply cut the amount the National Institutes of Health pays universities and other research institutions for overhead costs. (Oza, 2/20)
News that the Trump administration canceled a $257,000 federal contract for research on 9/11-related diseases drew widespread condemnation Thursday among New York Democrats. The contract would have paid for data processing work to compare cancer incidence rates among firefighters exposed to the World Trade Center toxins to firefighters in three other U.S. cities who were not exposed. (Kaufman, 2/20)
President Donald Trumps federal hiring freeze is forcing terminations at the US Department of Veterans Affairs research office, jeopardizing projects that advance treatments for cancer, drug withdrawal and more. While doctors, nurses and other medical staff have been exempt from the Trump administrations broad hiring halt and workforce cuts, the VAs Office of Research and Development one of the largest hubs for medical research in the world was told it couldnt keep researchers as their appointments end. Initial guidance had suggested that those jobs would also be protected. (Eidelson and Alexander, 2/20)
Some researchers who have published on a government patient safety website are refusing to alter their reports to comply with Trump administration executive orders around language, leaving them offline. Gordon Schiff, MD, of Brigham and Women's Hospital and Harvard Medical School in Boston, is the author of a 2022 case report and commentary on suicide risk assessment that includes a line noting several groups at high risk of suicide, including the LGBTQ community. Rather than remove the line, the piece remains off the Patient Safety Network site, which is part of the Agency for Healthcare Research and Quality (AHRQ). (Henderson, 2/20)
The National Academies of Science, Engineering, and Medicine is scrubbing pending reports of words such as health equity, marginalized populations, and restorative justice and replacing them with vaguer terms in an effort to appease the Trump administration, according to a letter protesting the actions sent to the organizations leaders and obtained by STAT.(McFarling, 2/20)
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Medicaid
On Medicaid, Some In GOP Must Pick: Against Trump Or Against Constituency
There are a handful of House Republicans who represent parts of the country where sizable shares of the populations receive government assistance from Medicaid and the Supplemental Nutrition Assistance Program, according to an NBC News analysis of the most recently available Census Bureau data. The lawmakers from the 10 GOP-held districts with the highest percentages of Medicaid or SNAP beneficiaries span the ideological and geographical spectrum. They include members from deep-red districts, such as Speaker Mike Johnson of Louisiana, as well as those in competitive battlegrounds, such as Reps. David Valadao of California. (Zanona, Kapur and Kamisar, 2/21)
[California] Rep. David Valadaos vote to repeal Obamacare may have cost him his seat in 2018. Hes not eager to repeat that mistake. The Republican representative, whose Central Valley district is being bombarded with TV ads pressuring him not to slash Medicaid, is parrying the Democratic-led campaign by withholding his support for a House resolution to cut at least $1.5 trillion from the federal budget a goal that would be impossible to meet without reductions to the popular health care program. (Jones, 2/20)
窪蹋勛圖厙 News: GOP Takes Aim At Medicaid, Putting Enrollees And Providers At Risk
Medicaid is under threat again. Republicans, who narrowly control Congress, are pushing proposals that could sharply cut funding to the government health insurance program for poor and disabled Americans, as a way to finance President Donald Trumps agenda for tax cuts and border security. Democrats, hoping to block the GOPs plans and preserve Medicaid funding, are rallying support from hospitals, governors, and consumer advocates. (Galewitz, 2/21)
窪蹋勛圖厙 News: 窪蹋勛圖厙 News What The Health?: Medicaid In The Crosshairs, Maybe
President Donald Trump has said he wont support major cuts to the Medicaid health insurance program for people with low incomes, but he has endorsed a House budget plan that calls for major cuts, leaving the programs future in doubt. Meanwhile, thousands of workers at the Department of Health and Human Services were fired over the holiday weekend, from the National Institutes of Health, the FDA, and the Centers for Disease Control and Prevention, with possibly more cuts to come. (Rovner, 2/19)
In related news
It was obvious to Christine Smith Olsey that her son was not doing well at school, despite educators telling her to leave it to the experts. The second-grade student stumbled over words, and other kids teased him so much he started to call himself an idiot. Though her son had been receiving speech and occupational therapy, Smith Olsey said his Denver charter school resisted her requests for additional academic support. She filed a complaint with the state and then, in September, the Education Departments Office for Civil Rights. In January, her sons case came to a halt. (Hollingsworth, Binkley and Ma, 2/20)
Public Health
Drug Overdose Death Rate Drops For First Time In Years
Rates of drug overdose deaths decreased in the United States for the first time since the COVID-19 pandemic began, according to new federal data published early Thursday. The rate of overdose deaths fell from 32.6 deaths per 100,000 people in 2022 to 31.3 per 100,000 people in 2023, a 4% decrease, according to the report from the Centers for Disease Control and Prevention's National Center for Health Statistics. (Kekatos, 2/20)
States like Alaska, Oregon and Washington bucked the national trend, reporting major increases in their fatal OD rates. Even their absolute numbers are relatively high: 2023 saw 49.4 fatal overdoses per 100,000 people in Alaska, 40.8 in Oregon, and 42.4 in Washington, compared to 31.3 nationally. (Fitzpatrick, 2/20)
In other health and wellness news
Children with a rare form of eye disorder who were born blind can now see thanks to a "remarkable" gene therapy breakthrough. Researchers from London's Moorfields Eye Hospital, biotech firm MeiraGTx and University College London have demonstrated that their therapy is both safe and effective in improving the vision of and slowing retinal deterioration in young patients born with "LCA-AIPL1." This previously untreatable genetic disorder, which affects some 23 of every 10 million newborns, leads to profound visual impairments and legal blindness. (Randall, 2/21)
Standing for long periods can lead to low back pain, fatigue, muscle pain and leg swelling, and it can increase the risk of cardiovascular problems and pregnancy complications, according to a review conducted by the National Institute for Occupational Safety and Health. ... Being on ones feet for an extended time also can lead to chronic venous insufficiency, a disease in which damaged veins impact blood circulation, according to the Association of periOperative Registered Nurses, which represents operating room nurses. (Bussewitz, 2/20)
Narcissists. The scheming, self-centered, much maligned and overdiagnosed personality types are not often the subject of sympathy. But a new study has cast people with narcissistic personality traits in a new light as feeling more excluded than their peers and stuck in a behavioral doom loop they cant easily escape. Thats according to research published Thursday in the Journal of Personality and Social Psychology that shows people with narcissistic personality traits feel ostracized more often than their less self-absorbed peers. (Craw, 2/20)
Health Industry
Luigi Mangione Set For First Court Date In UnitedHealthcare CEO's Slaying Case
When last seen publicly in December in a Manhattan courtroom, Luigi Mangione both pleaded not guilty to murder and spawned a sellout of the burgundy sweater he was wearing. Since then, the 26-year-old Towson native and 2016 Gilman valedictorian accused of killing Brian Thompson, the CEO of UnitedHealthcare, has been the silent center of a much-watched case, an outlaw hero to some who share his apparent rage at the health insurance industry. But the silence is lifting. Not only is Mangione due in court again on Friday for a pretrial hearing, his defense lawyers last week launched a website to deliver a statement from him, provide links to the criminal cases against him in three different courts (along with maps to the courthouses for upcoming hearings) and answer questions such as how to contribute to his defense fund (GiveSendGo) or send him photos (Shutterfly and FreePrints). (Marbella, 2/20)
More health care industry news
The U.S. Justice Department alleges two insurance marketers defrauded the federal government of $161.9 million by improperly signing up low-income consumers in subsidized health insurance exchange plans.Federal investigators charged Cory Lloyd, 46, of Stuart, Florida,and Steven Strong, 42, of Mansfield, Texas, with conspiracy to defraud the U.S. and commit wire fraud, three counts of wire fraud and two counts of money laundering, the agency announced in a news release Thursday. If convicted, Lloyd and Strong could face up to 35 years in prison, according to the release.(Tepper, 2/20)
CVS Health's MinuteClinic is collaborating with Emory Healthcare Network to extend primary care services to more patients in Georgia. With the new partnership, MinuteClinic now offers in-network primary care services at all 35 clinics in the state to most payers through Emory's integrated network. Patients also have access to Emory's network of acute care, specialty care, labs, radiology and diagnostic services, according to a Thursday news release. (Hudson, 2/20)
The high cost of employing third-party specialists is expected to create more financial headaches for health systems this year, despite ongoing work to mitigate the impact. Health systems often enlist third-party staffing companies and independent practices to fill openings for hospital-based physicians in specialties such as emergency medicine and anesthesiology. (Hudson, 2/20)
Heat waves can gum up hospitals enough to bring deadly consequences even beyond patients directly afflicted, a new study finds. It's the first estimate of extreme heat that "unpacks the direct from the indirect effects that arise due to hospital congestion," it states. (Geman, 2/20)
State Watch
Missouri Judge Sets 2026 Trial Date To Permanently Remove Abortion Ban
A judge in Kansas City has scheduled a trial for early next year that could permanently overturn Missouris abortion ban.Late last week, preliminary orders from Jackson County Judge Jerri Zhang put a temporary hold on licensing restrictions, clearing the way for abortions to resume in Missouri. Zhang had previously put a hold on the states ban after Missourians in November passed a ballot initiative to protect the right to an abortion. But a full trial now scheduled for January 2026 is still needed to make those changes permanent. (Fentem, 2/20)
Democrat lawmakers on Wednesday filed legislation that would repeal of Floridas six-week abortion law that was enacted in May. The bills (SB 870, HB 741), sponsored by Senate Minority Leader Tracie Davis, D-Jacksonville, and House Minority Leader Fentrice Driskell, D-Tampa, would allow abortion until viability, which in Florida is considered 22 to 24 weeks of pregnancy. (Corum, 2/20)
More health news from across the U.S.
Protection from institutionalization for disabled people is a right that has been federally guaranteed since a 1999 Supreme Court case. Now, Colorado disability advocates are one step closer to getting that right enshrined into state law, with a bill that passed a Colorado House of Representatives committee this week. (Young, 2/20)
It is a nightmare that plays out on the streets and subways every few months: A homeless person with a history of mental illness or violence falls through the cracks or wanders away from the system intended to help him, surfaces in a psychotic rage and attacks a random New Yorker. Though they make up a tiny fraction of crimes, the unpredictable attacks feed perceptions that the city is unsafe and stir demands for action. (Oreskes and Newman, 2/21)
New York is suing some of the largest vape distributors for allegedly fueling the countrys youth vaping epidemic. New York Attorney General Letitia James announced the lawsuit against 13 major e-cigarette manufacturers, distributors and retailers for illegally marketing and selling popular flavored vape brandslike Puff Bar and Elf Bar to minors. Selling flavored nicotine vapes has been banned in New York since 2020, but the products can still be found in corner stores and smoke shops in the city.(OConnell-Domenech, 2/20)
A Senate committee Wednesday approved a proposal that supporters said would help Medicaid beneficiaries with mental illnesses get prescription drugs they need. The Senate Health Policy Committee unanimously approved the proposal (SB 264), which Sen. Gayle Harrell, R-Stuart, has filed for the legislative session that will start March 4. (2/20)
Amid debate about issues such as privacy and protecting vulnerable seniors, a House panel Thursday approved a proposal that would require nursing homes and assisted living facilities to allow video cameras and other electronic monitoring devices in residents rooms. Some nursing homes and assisted living facilities already allow family members and other representatives of residents to install what are often known as granny cams in rooms. (Saunders, 2/21)
Outbreaks and Health Threats
Paxlovid Is Less Effective In Older Vaccinated Covid Patients, Study Shows
The antiviral pill Paxlovid does not significantly reduce COVID-19 hospitalizations in vaccinated older adults, according to new research by UCLA doctors. The findings were published Thursday in a research letter in the Journal of the American Medical Association. The takeaway is not that Paxlovid doesnt work but rather that its effectiveness is lower in vaccinated older adults than was previously reported in unvaccinated adults, said the studys lead author Dr. John Mafi, an associate professor of medicine in the Division of General Internal Medicine and Health Services Research at UCLAs David Geffen School of Medicine. (Ho, 2/20)
Women have a higher risk of developing long covid than men, depending on their stage of life and whether they have experienced menopause, according to a new nationwide study from RECOVER, the long covid research initiative funded by the National Institutes of Health. The research, published in January, studied over 12,000 adults and found that overall, female participants had a 31 percent higher risk of developing long covid after an infection with the coronavirus than male counterparts. (Morris, 2/20)
On bird flu
Two dairy workers in Michigan may have transmitted bird flu to their pet cats last May, suggests a new study published on Thursday by the Centers for Disease Control and Prevention. In one household, infected cats may also have passed the virus to other people in the home, but limited evidence makes it difficult to ascertain the possibility. (Anthes and Mandavilli, 2/20)
The United States has so far avoided vaccination as a strategy to eradicating bird flu in poultry, instead relying on culling infected flocks. With the escalating outbreak driving up egg prices to record highs, could that approach soon change? ... The Agriculture Department on Friday gave its strongest sign yet that the federal government could be shifting its strategy. The agency said it granted a conditional license for an H5N2 bird flu vaccine designed to work against variants of the H5N1 virus, the strain circulating among herds of dairy cows and domestic poultry in the U.S. (Lovelace Jr., 2/20)
On measles, flu, and cholera
A measles outbreak in West Texas is continuing to spread. And with kindergarten vaccination rates dipping across the country, more communities may be at risk of outbreaks. But it's not just kids who should be vaccinated. Infectious disease experts say some adults may need to get revaccinated, too. Measles can spread incredibly fast it's one of the world's most contagious diseases, more than flu, polio, Covid, or just about any other infectious disease. (Godoy, 2/21)
The World Health Organization (WHO) monitors the global supply of seasonal influenza vaccines, and a new analysis shows the 2023 supply matches numbers from 2019, suggesting flu vaccine production was sustained through the COVID-19 pandemic.The study was published this week in Vaccine, and the authors said monitoring seasonal flu vaccine capacity is important for estimating potential pandemic flu vaccine capacities in different global regions. (Soucheray, 2/20)
The number of new cholera cases is down worldwide to start the year, despite a new outbreak in Angola, according to the latest update from the World Health Organization (WHO). As of January 26, a total of 34,799 new cholera cases were reported in 19 countries across three WHO regions, marking a 27% decrease from December 2024. (Dall, 2/20)
Weekend Reading
Longer Looks: Interesting Reads You Might Have Missed
Healthy people are rife with viruses that dont make us ill. Scientists estimate that tens of trillions of viruses live inside of us, though theyve identified just a fraction of them. A vast majority are benign, and some may even be beneficial. We dont know for sure, because most of the so-called human virome remains a mystery. (Zimmer, 2/19)
In 19th-century France, the young chemist challenged the theory of spontaneous generation and discovered an invisible world of airborne microbes. (Zimmer, 2/18)
Whats happened in Austria offers another window into how and why some far-right parties have continued to fan pandemic-era grievances over measures such as vaccine policies and enforced restrictions. While anti-vaccine sentiment has long existed, experts say the decision by leading political parties to take up that mantle and challenge public health measures marks a new and distressing turn. (Joseph, 2/21)
Confidence in scientific institutions mostly survived the first Trump administration. What will happen to it now? (Lopez Lloreda, 2/17)
Two-year-old Evans was brought to the Nyumbani Childrens Home in Nairobi, Kenya a year ago, suffering from HIV and tuberculosis. With no family to care for him, Evans was referred to the orphanage by a health center after he stopped responding to medical treatment. Nyumbani Childrens Home is the reason Evans is still alive. But political decisions made thousands of miles away might spell the end of his short life. (Komu, 2/21)
Why did humans start speaking? Scientists suggest genetics played a big role and they say the evolution of this singular ability was key to our survival. (Ungar, 2/18)
Editorials And Opinions
Viewpoints: Measles Outbreak In Texas Will Test RFK Jr.; We Must Rein In Bird Flu Before It's Too Late
Given how much Robert F. Kennedy Jr. has done to scare Americans away from vaccines, it seems inevitable that a runaway measles epidemic will ensue. Dozens of cases in rural West Texas might already be the start of one. As Kennedy takes office as secretary of health and human services, the worlds most transmissible virus is challenging him to an arm-wrestling match, and its one that the iron-pumping health advocate cannot win. (Donald G. McNeil Jr., 2/20)
Unfortunately, bird flu is no longer confined to birds. For several years, the virus has been jumping from wild birds into wild mammals, and last March it was identified in cows for the first time. Scientists are sounding the alarm: Bird flus jump into an animal with which humans have such close contact is a serious warning sign. If this outbreak isnt controlled, the virus could mutate and plunge humans into a new public health emergency. (Maryn McKenna, 2/20)
If there is one lesson we should have learned from the COVID-19 pandemic, it is that promoting public health around the world also strengthens health at home. (Widney Brown, 2/21)
When President John F. Kennedy asked Congress to establish the U.S. Agency for International Development in 1961, he rooted its mission in Americas strategic interests and its moral obligations as a wise leader and good neighbor, recognizing that poverty and instability threaten Americas prosperity and security. That convergence of interests and values, upheld across Republican and Democratic administrations, is now at risk. (Jeremy Konyndyk, 2/21)
When a CBS News medical correspondent claimed this week that were accumulating a plastic spoons worth of plastic in our brains, her colleagues looked horrified, and for good reason. Surely, that much plastic would gunk up our cognitive machinery. You probably dont have quite that much of the stuff in your brain, but the idea of any plastic piling up there is still unnerving. (F.D. Flam, 2/20)