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Morning Briefing

Summaries of health policy coverage from major news organizations

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Wednesday, Jun 30 2021

Full Issue

Viewpoints: Burnout Has Health Consequences; Mental Health Conservatorships Due For Change

Editorial pages tackle these various public health issues.

Burnout is usually reserved to describe work-related phenomena: exhaustion, feelings of negativism, and reduced professional efficacy. In 2019, the World Health Organization officially recognized burnout in its International Classification of Diseases but clearly stated that the term 鈥渟hould not be applied to describe experiences in other [nonoccupational] areas of life.鈥 Burnout 鈥渋s not classified as a medical condition,鈥 the agency declared, using boldface for emphasis. Similarly, the Mayo Clinic calls burnout 鈥渁 special type of work-related stress鈥攁 state of physical or emotional exhaustion that also involves a sense of reduced accomplishment and loss of personal identity,鈥 and specifies that it 鈥渋sn鈥檛 a medical diagnosis.鈥 (Lucy McBride, 6/30)

Britney Spears鈥檚 testimony last week about her conservatorship 鈥 over the past 13 years, she said, she had been financially exploited, forced to take lithium and prevented from removing her birth control device 鈥 was to many a shocking revelation, made all the more so by her celebrity status. For others, though, the reaction was one of recognition. 鈥淎s troubling and extreme as Britney鈥檚 circumstances may seem,鈥 Erica Schwiegershausen wrote in The Cut, 鈥渕uch of what she recounted 鈥 such as being medicated without consent and subjected to involuntary psychiatric evaluations and institutionalizations 鈥 likely feels familiar to anyone with experience of mental illness.鈥 (Spencer Bokat-Lindell, 6/29)

Among the devastating consequences of our nation's history of racial injustice is the pervasive inequity in health along racial and ethnic lines. If the most important measure of society is the well鈥恇eing of its populace, then dismantling the direct linkage between one's health and race should be our most urgent priority. Black communities have higher rates of chronic disease and premature death. COVID鈥19 has worsened the problem. We must do better. (Michael Ugwueke, 6/29)

The Biden administration has made health equity a priority and it has been a constant theme of conversation on Capitol Hill. But where do we go from here? One place is stopping health insurance companies and pharmacy benefit managers from pulling the rug out from underneath people who need help affording their medications through copay assistance. (Kollet Koulianos and Keri Norris, 6/30)

The U.S. Supreme Court has created the federal health care rules in force today. It has usurped the role of Congress and done so disingenuously. Earlier this month, the court turned aside a challenge brought by 18 states to the Affordable Care Act (鈥淎CA鈥 or 鈥淥bamacare鈥). Their constitutional claim turned on whether Congress could compel individuals to buy health insurance. Under the constitution鈥檚 interstate commerce clause, Congress can regulate the insurance market; but the court鈥檚 5-to-4 decision upholding the ACA in 2012, held that requiring individuals to buy insurance went beyond mere regulation. (Tom Campbell, 6/29)

While the causes of building collapses are as diverse as the distance between the World Trade Center and Champlain Towers, the imperative for those trying to minimize human loss and suffering is the same: intensive pre-planning that ensures a rapid, coordinated response adequate for the scale of the disaster. With America鈥檚 local-state-federal divide, however, the country simply cannot guarantee a quick and efficient response to mass-casualty disasters as things now stand. When every minute is crucial to saving lives, our inability to mandate an instant call-up of resources across city and state lines is literally killing people. (Rebecca Shimoni-Stoil, 6/29)

Connecticut鈥檚 governor and majority-party legislative leaders were proud and self-congratulatory on Tuesday, June 22, 2021, at the signing of SB1201, the recreational marijuana bill.聽The governor boasted that 鈥溾 all of us here鈥 place a premium on public health鈥 and public safety鈥 this is a bill that prioritizes that鈥.鈥 Majority Leader Rep. Jason Rojas (D-East Hartford) stated, 鈥淚 think it鈥檒l be the most comprehensive and best cannabis legalization bill in the country 鈥 I feel confident in saying yes, right now, this is the best bill in the country and it鈥檚 going to move us in a direction of ensuring that we provide a well-regulated marketplace for adult-use cannabis鈥.鈥 To the governor and those legislative leaders: this bill is a disaster. (William Butka, 6/30)

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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