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Morning Briefing

Summaries of health policy coverage from major news organizations

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Monday, Sep 20 2021

Full Issue

States Without Medicaid Expansion Have More Emergency Surgeries

A recent paper in the Health Affairs journal notes that gallbladder removal and heart catheterization are the top two surgeries performed on uninsured patients in states that haven't expanded Medicaid. Overdose deaths, Hurricane Ida and disabilities, California vax rates and more are also in the news.

There鈥檚 a big difference between getting a scheduled knee replacement surgery or back surgery and having an emergency gallbladder removal or cardiac catheterization. The orthopedic surgeries tend to be non-emergency, elective procedures that are planned in advance. On the other hand, gallbladder removals are often emergency surgeries, as patients are usually in excruciating pain. Emergency cardiac catheterizations are done on patients who are at high risk of imminent heart attack, a condition that often could be prevented by ongoing cardiac care. (Hoban, 9/20)

In updates from Florida, Louisiana, California and New York 鈥

At least 270 people have died from overdoses so far this year in Jacksonville; 271 people had died from an overdose at the same point last year.聽Dr. Raymond Pomm is the medical director for Project Save Lives, Jacksonville鈥檚 initiative to prevent drug overdose deaths. He told a City Council committee Thursday there aren鈥檛 enough treatment beds for all of the patients that opt into the program. (Heddles, 9/19)

It was four days after Hurricane Ida, and Grace Hollins worried her son couldn鈥檛 take one more day in the heat. Carl, 28, has severe intellectual and developmental disabilities. His seizures are aggravated by the heat, and Hollins had just one syringe of diazepam left to treat them. Adult diapers, usually delivered at the first of the month, were running low. Ida had broken a window and torn a hole through her roof in New Orleans' St. Roch neighborhood, and mosquitoes were coming in. She didn鈥檛 know where to turn. 鈥淚t was scary. It was horrible. My son was not understanding,鈥 said Hollins, 55, who is also disabled due to a back injury. 鈥淗e just couldn鈥檛 grasp it. I couldn鈥檛 grasp it, either.鈥 (Woodruff, 9/20)

California Gov. Gavin Newsom has called his decisive victory in this week鈥檚 recall election a win for vaccines and science. The data backs him up. A CNBC analysis of county-level results 鈥 which are preliminary as mail-in ballots continue to be tallied 鈥 found a strong link between support for Newsom and counties with high Covid vaccination rates as of Election Day, Sept. 14. (Constantino and Rattner, 9/17)

New York Gov. Kathy Hochul (D) ordered the release of 191 inmates from Rikers Island on Friday, and announced an agreement that could move up to 200 more to state prisons. COVID has deepened a crisis at the prison, which had years of neglect and dysfunction prior to the pandemic. Ten people have died at Rikers since December, the New York Times reported. (Garfinkel, 9/17)

Republican Representative Lee Zeldin said Saturday he was diagnosed with chronic myeloid leukemia and is in 鈥渃omplete remission鈥 after nine months of treatment.聽The statement from the congressman seeking the Republican nomination to run for New York governor was the first time he publicly disclosed his diagnosis. Zeldin, 41, said his health is 鈥減henomenal鈥 and he has continued to campaign across the state. 鈥淥ver the last nine months, I have achieved complete remission, am expected to live a normal life, and my doctor says I currently have no evidence of this disease in my system,鈥 Zeldin said.聽(Edgerton, 9/18)

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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