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Morning Briefing

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Wednesday, Apr 6 2022

Full Issue

Viewpoints: School-Based Health Centers Improve Student Outcomes; PCPs Should Prescribe Methadone

Editorial writers weigh in on these public health issues.

The COVID-19 pandemic has been disruptive and devastating for too many, including our school-aged children. Time will tell what long-term impacts the pandemic will have on our students, families and communities. This spring, as the governor and state legislature make decisions around investing additional federal COVID relief dollars, expanding the footprint of Ohio鈥檚 school-based health centers would be a smart use of these one-time funds. (James J. Berrens, 4/5)

We long ago lost the war on drugs. It鈥檚 time to make a tried-and-true change to methadone access for people who use opioids. I met a man I鈥檒l call Mr. R on my hospital rounds. He had been hospitalized after being found unconscious at home. Decades of cigarette use meant he was on oxygen to prevent suffocation. Mr. R also had pain, emotional and physical, as a result of time he spent in the Army. Every day, Mr. R injected heroin to manage his pain. (Susan Calcaterra, 4/4)

Despite some recent baby steps, the untangling of the federal government鈥檚 enduring and preposterous opposition to cannabis as a medicine or recreational substance is going to take a long, long time. Nevertheless, I was delighted to read that the Senate had recently passed a bipartisan legislation loosening rules about cannabis research, 鈥淐annabidiol and Marihuana Research Expansion Act.鈥 (The strange spelling has an unfortunate historical precedent.) (Robin Abcarian, 4/6)

In its current format, I oppose SB 88, An Act Concerning Aid in Dying for Terminally Ill Patients because it does little to actually increase care and support the dying. Connecticut has an end-of-life problem where people with a terminal illness and prognosis of less than six months are currently not receiving the comfort care they need. I regularly speak with terminally ill people who request aid in dying. In so many cases their request is based on a lack of understanding of our healthcare system. Many people who request aid in dying from me do not even know palliative and hospice care exists. The pervasive misconception is that once people no longer want to be cured, our healthcare system will simply abandon them and 鈥減ull the plug.鈥 However, whether you opt for curative care or comfort care, you will get medical care either way. We do not abandon you. (The Rev. Daniel Warriner, 4/6)

One nice thing about being a seasoned nurse is the fact that you have seen a whole lot of seasons. For me, I鈥檝e been an RN since 1993. During my training and first few years in the profession, it was pounded into me that 鈥減ain is the fifth vital sign.鈥 We were to ask a patient鈥檚 pain level every time we took a vital sign. For my job, I still have to do that. Not that it has any meaning anymore. We don鈥檛 treat pain the way we used to treat pain a mere 20 years ago. In my opinion, we did it better back then. (Allan Stellar, 4/4)

Sometime this spring, probably in late June, the US Supreme Court will hand down its decision in Dobbs v. Jackson Women鈥檚 Health Organization, an appeal testing the constitutionality of Mississippi鈥檚 2018 law banning elective abortions after 15 weeks of pregnancy. Upholding that ban would dramatically change America鈥檚 abortion rules. In Roe v. Wade and subsequent cases, the high court established an unfettered right to abortion until a fetus is 鈥減otentially able to live outside the mother鈥檚 womb,鈥 which doesn鈥檛 occur until around weeks 22 or 23 of gestation. If Mississippi鈥檚 law is upheld, viability would lose the constitutional significance with which Roe invested it. States would no longer have to wait until a pregnancy is past the halfway mark before they could disallow abortion on demand. (Jeff Jacoby, 4/6)

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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