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Morning Briefing

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Tuesday, May 23 2023

Full Issue

Different Takes: High Cancer Costs Lead To Delayed Treatments In US; Why Is The UK Losing Its Doctors?

Opinion writers discuss these public health topics.

In 2023, just under 2 million Americans will be diagnosed with cancer. Many will endure multiple CT and MRI studies and intensive medical care, including surgery, radiation, chemotherapy, or immunotherapy. Fortunately, advances in treatment and novel therapies have steadily improved survival following a cancer diagnosis. Cancer death rates have declined by 27% over the past 20 years. Unfortunately, many American cancer patients also face an unexpected adverse effect: financial toxicity. (Ezekiel J. Emanuel, 5/23)

In some ways, the UK鈥檚 doctor shortage resembles the worldwide crunch聽in healthcare. From France and Germany to the US, Spain and the Nordics, aging populations are increasing demand for doctors, nurses and care workers. Yet medical training聽is expensive, the number of training placements for graduates is limited, and the pandemic has left many doctors spent. 聽(Therese Raphael, 5/22)

鈥淭hrashing.鈥 That鈥檚 what old-school computer scientists called it when an operating system is running so many tasks at once that just switching among them basically crashes it. And that鈥檚 how I felt last fall when I tested GPT-4, the far more powerful successor to ChatGPT, on medical challenges for the first time. I was caught in a stuttering stasis between two competing, nearly overwhelming realizations. (Isaac S. Kohane, 5/23)

It鈥檚 increasingly clear that it鈥檚 not safe to be pregnant in states with total abortion bans. Since the end of Roe v. Wade, there have been a barrage of gutting stories about women in prohibition states denied care for miscarriages or forced to continue nonviable pregnancies. (Michelle Goldberg, 5/22)

For the last three years, patients have received masked care. While hearing and speech impaired individuals definitely benefit from unmasked communication, the majority of patients have gotten better care because of those masks. (Emily Landon, 5/23)

Six-month-old Jackson Kekula was brought to Boston Children鈥檚 Hospital for what should have been a routine procedure. He died after a series of medical errors. The Globe reported last month that the hospital paid $15 million to his family to settle a lawsuit while agreeing to corrective actions. Jackson鈥檚 case was tragic and egregious, but medical errors at hospitals are unfortunately and inexcusably common. (5/23)

An axiom in medicine is that good judgment depends on experience, and experience depends on bad judgment. Basically, one way doctors refine their care is through a learning curve resulting from inexperience and lack of judgment. (Cory Franklin and Robert Weinstein, 5/23)

Uncomfortable or debilitating? A study done by Healthline found that 60 percent of people who have not given birth experience moderate to severe pain during IUD insertion and other contraceptive procedures, and yet insurance companies are able to refuse to cover anesthesia for these procedures. (Sosna Biniam, 5/23)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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