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Tuesday, Mar 22 2022

Full Issue

Viewpoints: Tennessee Should Remove APRN Restrictions; Vaccine Mandates Are Lawful

Editorial writers examine these public health topics.

We are two nurses who have long promoted access to needed health care services and the removal of unnecessary and outdated regulations that prevent nurse practitioners and other advanced practice registered nurses (APRNs) from providing those services efficiently. We now see a shift that may portend a much-needed change in our quest for regulatory change. At recent meeting of the Senate Commerce and Labor Committee, Senate Bill 176, which is focused on APRN practice, was discussed. (Ruth Kleinpell and Carole R. Myers, 3/22)

While the omicron surge is hopefully the last phase of the COVID-19 pandemic, it may unfortunately not be the last pandemic we face. These and other lessons from efforts to control the pandemic will be valuable for any future episode. As a faculty member in public higher education I have been involved in vaccine mandate committees at the university and systemwide level. These mandates, as approved at institutions of higher education throughout the state, have served to protect the health of students, faculty and staff, and to encourage vaccinations by those who might otherwise hesitate. (David Blitz, 3/21)

Opportunities persist for healthcare organizations and the executives who lead them to address diversity, equity and inclusion head-on. Despite the efforts of many, a great deal of inequity still exists in healthcare delivery, due to variation in care quality, lack of access or because of discrimination based on personal characteristics such as gender, ethnicity, sexual orientation, geographic location or socioeconomic status. These disparities have, unfortunately, been magnified during the pandemic. Many in the industry thought we were doing a lot鈥攂ut we now know we need to be doing a heck of a lot more. (Anthony Armada, 3/22)

There has been much public discourse about the use of race and other personal risk factors in treating COVID-19鈥攚ith a specific focus on risk calculators. While these may be headline-grabbing claims, our duty as healthcare providers is to always follow the best available evidence and science, without regard for political fallout. The challenge is to remain objective, not letting predispositions or politics cloud our judgment. The people and communities we serve deserve no less. (Laura Kaiser, 3/22)

Claude Pepper鈥檚 legacy in Miami and throughout Florida, with roads, bridges, senior centers, parks, forums and organizations named after him is remarkable. He was on the cover of Time Magazine on May 2, 1938. He was in the U.S. Senate at the time. But the most significant part of Pepper鈥檚 legacy, especially as he grew older, was returning to Congress years after he lost his Senate seat and chairing the House Select Committee on Aging . Pepper pushed the ban on mandatory retirement (with Kentucky Fried Chicken鈥檚 Colonel Sanders as a witness), protected nursing homes, expanded home healthcare and bolstered Social Security, with solvency through 2034. That put him on the cover of Time Magazine again on April 25, 1983, as America鈥檚 鈥淪pokesman For the Elderly.鈥 (Robert Weiner and Ben Lasky, 3/21)

Also 鈥

In her new book, 鈥淚n Love,鈥 Amy Bloom writes about her husband, Brian Ameche, a gregarious, life-embracing former-college-football-player-turned-architect, and how they fell in love later in life in a small town in Connecticut. And she writes about his Alzheimer鈥檚 diagnosis, the early days of his decline, and eventually his death at age 66. But what distinguishes this book from other such memoirs is that Ameche made a decision within 48 hours of his diagnosis: He did not want to live on indefinitely as the horrendous brain-wasting disease took control and destroyed him. He preferred to die sooner. He wanted to end his life, he said, 鈥渨hile I am still myself, rather than become less and less of a person.鈥 (Nicholas Goldberg, 3/21)

As a physician assistant working for the last 46 years, I have spent my life caring for and treating the illnesses of many patients, which included easing their pain, especially when their diseases, or the resulting outcomes, could not be cured. Like all health care practitioners, I swore an oath to serve as a healer. As a result, if I ever told a patient that, instead of seeking treatment, they should end their life, I would deserve to lose my medical license. Yet that is exactly what Connecticut legislators are proposing. (Jack Pike, 3/22)

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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