Morning Briefing
Summaries of health policy coverage from major news organizations
Economic Burden Of LGBTQ+ Conversion Therapy Is $9 Billion
In a first-of-its-kind聽look at the financial impact of LGBTQ conversion therapy in the U.S., new research shows the practice creates an economic burden of $9 billion annually. Researchers said the yearly direct cost of conversion therapy performed on LGBTQ young people 鈥 including payment of services, health insurance reimbursements or fees to religious organizations that perform the practice聽鈥斅犅爐otals $650 million, found the study, published by medical journal JAMA Pediatrics on Monday. Indirectly, conversion therapy costs聽$8.58聽billion annually due to the expense of treating effects like聽anxiety, depression, suicide attempts or substance abuse, the paper said. (Butler, 3/7)
In other LGBTQ+ news 鈥
In August 2019, six weeks after Rodrigo Heng-Lehtinen joined the National Center for Transgender Equality (NCTE) as deputy executive director, news broke that the Justice Department, under President Donald Trump, had asked the Supreme Court to legalize firing transgender workers on the basis of their gender identity.聽But at one of the moments it was needed most, the nation鈥檚 premier transgender policy nonprofit, which had worked shoulder-to-shoulder with presidential administrations, sat empty. Earlier that same day, the staff had walked out over the way the organization treated its employees of color.聽 The incident would prelude the effective dissolution of the storied organization.聽(Sosin, 3/7)
It was only about a decade ago when the U.S. Food and Drug Administration approved the first medication that provided pre-exposure prophylaxis (PrEP) to lower people鈥檚 risk of catching HIV, Truvada.聽Scotty Elliot still remembers the stigma that followed people who chose to get on the medication. 鈥淕uys who took it were called 鈥楾ruvada whores,鈥欌 said Elliot, an infectious disease social worker at Duke Academy for Health Professions Education and Academic Development. He said the disparagement was 鈥渏ust a horrible way to start a movement of getting care with people, so they are protected from HIV.鈥 That stigma against people with HIV and members of the LGBTQ community, which was disproportionately impacted by HIV, still exists, Elliot said. (Thompson, 3/8)
When Javier Gomez testified in front of Florida鈥檚 lawmakers in Tallahassee last month, he said he was on the verge of a 鈥減anic attack.鈥 But it was important lawmakers heard about the impact of SB 1834, a 鈥淧arental Rights in Education鈥 bill in the Florida Senate that critics have labeled the 鈥楧on鈥檛 Say Gay鈥 bill, from the perspective of students who could be affected most, he said. 鈥淚 looked everyone in the eyes and I told them my story,鈥 said Gomez, 17, president of the Gay-Straight Alliance chapter at Miami鈥檚 iPrep Academy. (Brugal, 3/7)
In abortion news 鈥
Both sides of the abortion debate anticipate that come July, the Supreme Court will have overturned Roe v. Wade and with it the constitutional right to abortion, handing anti-abortion activists a victory they have sought for five decades. But from Florida to Idaho, Republican-led state legislatures are not waiting: They are operating as if Roe has already been struck down, advancing new restrictions that aim to make abortion illegal in as many circumstances as possible. (Zernike, 3/7)
Florida鈥檚 legislature passed a bill that would ban abortion after 15 weeks of pregnancy. Idaho鈥檚 Senate approved a bill to block the procedure after six weeks, modeled after Texas鈥 law. Georgia鈥檚 Senate advanced legislation that prohibits using telemedicine for abortion medication. And in Kentucky, the state House voted to pass new restrictions on abortion providers that, if enacted, could effectively shut down clinics in the state.聽Legislatures around the country are voting on a variety of abortion restrictions, many of them not in line with the protections that have existed since Roe v. Wade was decided 49 years ago. They鈥檙e doing so with an eye on the Supreme Court, set to rule in a case that is widely expected to give more power to states to add limits to the availability of abortion. (Luthra, 3/7)
In other public health news 鈥
Can springing forward cause problems for your ticker? Switching to daylight saving time may cause more than losing an hour of sleep; it may also have a negative impact on your heart and brain health, according to several studies.聽The American Heart Association said several scientific reports suggest the upcoming time change is associated with an increase in the incidence of heart disease and stroke during the spring ahead time transition.聽(McGorry, 3/7)
The Garey family home outside of Austin, Texas, is a revolving door of medical professionals coming to assist Tom, the patriarch 鈥 an Air Force veteran with advanced ALS. Every few hours, a respiratory therapist or hospice nurse enters a key code to get into the house, and the German shepherds, Lou and Remi, go crazy. "It's life here at the Gareys," said Lara Garey, Tom's wife and primary caregiver. "We try to make it like an ICU. But it's really like a zoo ICU." (Frame, 3/7)
Duke University doctors say a baby is thriving after a first-of-its-kind heart transplant -- one that came with a bonus technique to try to help prevent rejection of the new organ. The thymus plays a critical role in building the immune system. Doctors have wondered if implanting some thymus tissue that matched a donated organ might help it survive without the recipient needing toxic anti-rejection medicines. (Neergaard, 3/7)
A scientist opens a laptop in front of a patient. On screen, a boy, tied to a fleet of balloons, fades in. As he rises into the air, the scene cuts abruptly to an office, where a man sits in front of his boss. A question then appears: 鈥淲as anyone in the video wearing a tie?鈥 Jie Zheng, a postdoctoral fellow at Boston Children鈥檚 Hospital, had flown to Los Angeles to show the video to this patient, who has a severe seizure disorder. Like with the 18 other patients who were part of the study, neurosurgeons had placed electrodes in the patient鈥檚 brain to pinpoint what had been causing their seizures. Zheng and a group of scientists in a federally funded BRAIN Initiative consortium used this opportune moment to find neurons involved in the creation of memories. While subjects watched clips from movies and answered questions that tested their memory of the videos, the electrical activity of their brains was monitored. (Delamerced, 3/7)