Morning Briefing
Summaries of health policy coverage from major news organizations
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Ńîšóĺú´ŤĂ˝Ňîl Health News Original Stories
Pfizerâs Covid Cash Powers a âMarketing Machineâ on the Hunt for New Supernovas
While sales of its covid vaccines are falling, Pfizer plans to triple the price of the shots and use its bonanza from government contracts to buy and develop new blockbusters.
Listen: With Abortion Rights on the Ballot in Michigan, Women Tell Their Stories
Women who need abortion care come to Michigan from surrounding states that already have banned the procedure. A clinic in suburban Detroit allowed a reporter to interview patients, doctors, and nurses to understand what is at stake as voters decide whether to guarantee abortion access in the Michigan Constitution.
Defense Department Health Plan Cuts Its Pharmacy Network by Nearly 15,000 Outlets
Many of the pharmacies were small, independent operations that had decided not to participate next year because of the lowered reimbursement being offered. But they were surprised by an early dismissal, and some patients with specialized drug needs could face difficulties in the transition.
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Summaries Of The News:
Elections
Votes Cast Today Will Shape Future Federal And State Abortion Laws
The male vote â and any lack of motivation among men â is critical for tight elections, as Democrats have made championing abortion rights a centerpiece of their midterm campaign. In the five decades that Roe v. Wade guaranteed a constitutional right to abortion, polls showed no significant difference in menâs and womenâs views on the issue: A similarly sized majority of each supported legalized abortion, especially in the first trimester. Now there is an intensity gap. While men and women are still as likely to think abortion should be generally legal, menâs responses suggest that abortion remains for them a relatively remote issue. (Zernike, 11/7)
Some senior White House officials have been second-guessing their messaging to voters around abortion in recent weeks, sources familiar with the matter said, as forecasts turned in Republicans' favor in the run up to the midterm elections. Many Democrats are no longer optimistic about retaining one or both houses of Congress in Tuesday's midterms, and some have asked if party leaders and the Joe Biden White House should have spent more time talking about the U.S. economy, and less about women's reproductive rights. (Bose, 11/7)
While inflation and the economy have been foremost on voters' minds across the nation this election cycle, some of the most high-profile health care battles are being decided at the state level on Tuesday. Voters in Michigan, Kentucky, Vermont, California and Montana are weighing abortion ballot questions that drive home how key reproductive rights battles post-Roe are being waged outside the federal realm. (Reed, 11/8)
Five states â California, Kentucky, Michigan, Montana and Vermont â will have abortion-related questions on the ballot, the most ever. And the outcome of gubernatorial and legislative races in six states â Arizona, Georgia, Michigan, North Carolina, Pennsylvania and Wisconsin â will determine whether abortion is legal in those states. (Vestal, 11/7)
In the four months since the Supreme Court overturned Roe v. Wade, 13 states have banned abortion starting at conception. Another state, Georgia, prohibits the procedure around six weeks of pregnancy. And access to abortion remains legal, but in limbo, in eight states: Indiana, Iowa, Michigan, North Dakota, Ohio, South Carolina, Utah and Wyoming. (Messerly, 11/8)
Also â
The pharmaceutical company Eli Lilly was one of the most vocal opponents of a sweeping anti-abortion law that passed in its home state of Indiana, last August, saying that the measure would make it hard to attract talent and would force it to look outside the state for growth. But in the weeks and months that followed, Lilly continued to financially support Republican candidates and politicians who support bans on abortion across the country, including many who celebrated the reversal of Roe v Wade. (Kirchgaessner and Aratani, 11/6)
As Americans head to the polls, some candidates continue to deny the results of the 2020 presidential election â and several of the largest players in the pharmaceutical industry have contributed to their campaigns. (Silverman, 11/7)
From Michigan â
Doctors are on the frontlines of a political battle raging across the country, as abortion rights are added to the ballot in the first election since the Supreme Court overturned Roe v. Wade. Michigan is at the heart of the struggle. (Goldhill, 11/7)
KHN: Listen: With Abortion Rights On The Ballot In Michigan, Women Tell Their StoriesÂ
One patient had two toddlers already and was trying to extract herself from an abusive relationship. Another ended up in Michigan after trying to get care in her home state of Ohio; she was handed a Bible at a crisis pregnancy center but no abortion pills. A third thought her childbearing years were behind her and had been looking forward to rejoining the workforce. (Wells, 11/8)
From South Dakota, Oregon, and Arizona â
The gun-control initiative, which critics say is the nationâs âmost extreme,â requires people to obtain permits and complete safety training to acquire a firearm. It also bans high-capacity magazines and calls for State Police to create and maintain a searchable database of gun ownership. (Chan, 11/7)
South Dakotans will vote Tuesday on whether to expand Medicaid coverage to low-income adults through a ballot initiative that's garnered endorsements from key players in the Mount Rushmore State's healthcare industry. (Berryman, 11/7)
On a windy, warm November night, thousands of Arizona Democrats lined the perimeter of a Tempe high school, desperate to get into the schoolâs auditorium for a chance to see former President Barack Obama. They werenât optimistic â about getting in, or the partyâs chances in the midterms. (Owermohle, 11/7)
After Roe V. Wade
Abortion Bans Have Disproportionate Impact On Latinas, Data Show
Latinas are the largest group of women of color affected by current or potential state abortion bans and restrictions, according to an analysis of data published by two advocacy groups. More than 6.5 million Latinas â or 42% of Latinas ages 15 to 49 â live in the 26 states that have banned or are likely to ban abortion, according to the report by the National Partnership for Women & Families and the National Latina Institute for Reproductive Justice. (Fernando, 11/7)
In other abortion updates â
After a dozen meetings and sessions over the summer and fall, South Carolina lawmakers are almost out of time to do something to change the stateâs abortion laws during a special session prompted by the overturning of Roe v. Wade. A conference committee of state senators and House members will meet one last time Wednesday morning to try to sort out a compromise between the House, which wants a near total abortion ban, and the Senate, which wants to tweak the current law that amounts to a ban about six weeks after conception. (Collins, 11/8)
A New Mexico town near the Texas border on Monday unanimously passed an ordinance designed to ban abortions, despite the procedure being legal in the state. The so-called "sanctuary city for the unborn" ordinance blocks abortion clinics from operating and its passage by the Hobbs city commission marks a first for a town in a state controlled by the Democratic Party, according to anti-abortion advocates. (Brooks, 11/7)
The Afiya Center, a reproductive justice organization, just opened its Southern Roots Birthing and Wellness Center last weekend complete with fitness classes, doula services, and prenatal and postpartum care. (Reddy, 11/7)
As abortion laws in Arizona hang in the balance, patients and providers are left with the consequences. CNN visited Planned Parenthood in Tempe the day it resumed abortion services. (11/5)
Veterans' Health Care
Veterans With Cancer Will Be The First To Get Benefits From New PACT Act
The Department of Veterans Affairs (VA) will give priority to veterans with cancer when it begins processing benefits claims under the landmark toxic exposure law signed this summer, VA Secretary Denis McDonough announced Monday. âIâm proud to announce for the first time today, on National Cancer Awareness Day, that weâre expediting benefits delivery for veterans with cancer conditions covered by law,â McDonough said during an appearance at the National Press Club. (Mitchell, 11/7)
The VA is set to begin processing claims for benefits filed under the toxic exposure bill, known as the Honoring Our Promise to Address Comprehensive Toxics, or PACT, Act, on Jan. 1. The law designated 23 diseases as presumed to be linked to burn pits used during the Iraq and Afghanistan wars and other airborne pollutants and environmental hazards from earlier conflicts, meaning veterans with those ailments will now have a streamlined process for claiming health care and disability benefits. (Kheel, 11/7)
In updates on toxic screenings â
The Department of Veterans Affairs on Tuesday will expand toxic screening to all veterans enrolled in its health care system in the United States under a new law that expands eligibility for care and benefits for those exposed to burn pits and other toxins, agency officials announced Monday. (Samora, 11/7)
Primary care physicians within the Veterans Health Administration will begin asking their patients this week whether they think they were exposed to environmental hazards during their service -- a conversation Department of Veterans Affairs officials say should lead to increased awareness and treatment for medical conditions linked to burn pits, pesticides, industrial chemicals and other toxins vets encountered in the military. But advocates for military personnel and veterans say the five-minute screening doesn't go far enough and are pressing the VA for medical screenings, including cancer tests, for those who served in geographic areas with the most likelihood for exposure. (Kime, 11/7)
In related cancer news â
Spotlight on America dug into the prevalence of breast cancer among servicewomen and learned that military women have a 20-40% higher risk than their civilian counterparts, according to a 2009 study published by the National Institutes of Health. (Daniels, Nejman and Brauer, 11/7)
As the radiologist drew a tissue sample for a biopsy, Army veteran Boyd Elliott knew by the look on her face that something wasnât right, but he wasnât prepared for the news that followed. He had cancer â breast cancer. (Dyson, 11/6)
Also â
The U.S. Supreme Court on Monday refused to hear a dispute involving an Air Force veteran's bid to reinstate certain disability benefits denied by the U.S. Department of Veterans Affairs, prompting a sharp dissent by conservative Justice Neil Gorsuch. (Chung, 11/7)
KHN: Defense Department Health Plan Cuts Its Pharmacy Network by Nearly 15,000 Outlets
Doris Spatz takes a once-a-day pill, Kisqali, to keep her metastatic breast cancer in check. As a patient in the Defense Department health system, she can fill routine prescriptions at a military pharmacy without a copay but also has the option of using a regular pharmacy through Tricare, the Defense Departmentâs private health care program. Spatz found a local pharmacy in her Alexandria, Virginia, neighborhood and was getting the life-preserving medicine there. (Kime, 11/8)
Covid-19
High Stress Of Pandemic Affected Menstrual Cycles, Researchers Find
During the pandemic, many women experienced high levels of stress as they took on a disproportionate share of child care and housework and dropped out of the labor force in large numbers. Now, a new study suggests that all of this extra stress may have changed womenâs menstrual cycles in a variety of ways. Some women who reported high levels of stress also reported early or delayed periods. Others had heavier menstrual flow or increased spotting between cycles. Some women said that during pandemic stress, their periods lasted more days than usual, while others said their periods got shorter. (Morris, 11/7)
Research by the University of Pittsburgh in the US, found that more than half of the participants in a study reported changes in their periods. The four changes were: Menstrual cycle length, period duration, menstrual flow, [and] Increased spotting. (Callingham, 10/31)
In other pandemic research â
The brains of unconscious Covid patients bear a striking resemblance to those of turtles that spend the winter encased in ice, argued Dr. Nicholas Schiff, a neurologist at Weill Cornell Medicine, and his collaborator, Dr. Emery Brown, a computational neuroscientist at M.I.T. The turtles survive by putting their neurons into an unusual quiet state that lasts for months. Dr. Schiff and Dr. Brown believe that the combination of Covid and sedatives prompts a similar response in people. (Zimmer, 11/7)
Alongside the many impacts of the Covid-19 pandemic on pediatric care, researchers have seen a stark increase in young adults seeking treatment for disordered eating behaviors. (Holcombe, 11/7)
The potential end of the COVID-19 public health emergency has reinvigorated debate over the merits and costs of expanding Medicaid. A provision of a 2020 COVID-19 relief bill required that states keep people continuously enrolled in Medicaid through the end of the month in which the COVID-19 public health emergency ends in exchange for more federal funding. (Papp, 11/7)
More on the spread of covid â
The National Science Foundation is shutting down travel to McMurdo Station in Antarctica after nearly 10% of the population tested positive for Covid-19. All travel to the U.S. outpost on Antarctica will be paused for the next two weeks due to the outbreak, the National Science Foundation said over the weekend. The halt on travel doesnât apply to essential travel for health and safety reasons, the foundation said. (De Avila, 11/7)
The seven-day rolling coronavirus test positivity rate in San Francisco has started to creep back up after falling steadily since July. It was 5.1% as of Oct. 31, the most recent date with reliable data, after dropping as low as 4.5% the previous week. (Fracassa and Vaziri, 11/7)
Under the bright lights of the Phoenix Raceway, as 100,000 people gathered to watch NASCAR drivers hurtle toward this yearâs championship, a small battalion of nurses and trainees took on an even more daunting challenge: convincing attendees to get vaccinated against Covid-19. (Owermohle, 11/7)
Healthcare Personnel
Half Of Dentists In Survey Say Patients Have Arrived For Procedures High
Fifty-two percent of dentists say patients have arrived to appointments high on marijuana or another drug, according to a new survey from the American Dental Association (ADA). ... Of the 557 dentists included in the online survey, 56 percent said theyâve limited treatment to patients who were high, while 46 percent reported needing to increase anesthesia to treat these patients due to the combined effects of marijuana and anesthesia on the central nervous system. (Melillo, 11/7)
More news about health care personnel â
Mass General Brigham has implemented a system-wide code of conduct for patients, in response to a rise in violent and hostile behavior toward healthcare providers around the country, a spokesperson told Healthcare Dive in an email Friday. Under the policy, words and actions that are âdisrespectful, racist, discriminatory, hostile or harassingâ may be grounds for patients to be asked to make other plans for their care, the hospital system said. (Kelly, 11/7)
Following a nationwide trend of increasing violence in EDs, the phenomenon has taken a turn in Montanaâs hospitals. Once saluted as heroes during the darkest months of the pandemic, health care workers are now facing violence and aggression on a daily basis. (Schabacker, 11/7)
Burnout and health industry consolidation are driving more doctors and doctors-in-training to unionize to demand better pay, benefits and working conditions. (Dreher, 11/7)
A former Wisconsin hospice nurse is facing felony charges after allegedly cutting off a dying man's foot without his consent or permission from doctors. Mary Brown, 38, faces one count of physical abuse of an elderly person and one count of mayhem. (Martinez, 11/7)
In other health care industry updates â
In 2023, employees can put away as much as $3,050 in an FSA, an increase of about 7% from the current tax year's cap of $2,850. Meanwhile, single workers who want to fund an HSA can save up to $3,850 next year, a 5.5% increase from 2022, while families can save up to $7,750, up 6.2%. (Picchi, 11/7)
More than half of the 1,500 hospitals targeted by health systems between 2010 and 2019 were located in a different commuting zone than the acquirer, according to an analysis of American Hospital Association data published Monday in Health Affairs. There are 625 commuting zones across the country, ranging from a size of one county to 20 counties. (Kacik, 11/7)
The Biden administration is getting serious about transforming Medicare payments for specialty care. Some doctors will be required to participate in programs that pay fixed amounts for care connected to certain surgeries and procedures. (Goldman, 11/8)
Clover Health will shrink its participation in a federal payment program that allows companies new to Medicare to manage care for individuals enrolled in traditional, fee-for-service plans. (Tepper, 11/7)
Pharmaceuticals
New Blood Pressure Drug Seems To Tackle Uncontrolled Cases
Patients who took a daily dose of the drug, baxdrostat, were able to reduce their blood pressure substantially, compared to a people who got a placebo, according to the study published in the New England Journal of Medicine and presented at the American Heart Association annual meeting on Monday. The new type of oral medication works by targeting a hormone that regulates the amount of salt in the body. (Carroll, 11/7)
A Medtronic PLC medical device reduced the blood pressure of people with tough-to-treat hypertension in a closely watched study, but not significantly beyond what medications achieved. The device cut a crucial measure of blood pressure by only about two points more than the average reduction in study volunteers who didnât get the procedure, researchers said Monday. (Loftus, 11/7)
In other pharmaceutical news â
The U.S. Supreme Court on Monday rebuffed a bid by Bristol Myers Squibb Co's Juno Therapeutics Inc to reinstate a $1.2 billion award it won in its patent fight with Gilead Sciences Inc subsidiary Kite Pharma Inc over a lymphoma drug. (Brittain, 11/7)
Verve Therapeutics said Monday that its experimental gene-editing treatment for a common form of heart disease was placed on clinical hold by the Food and Drug Administration, potentially delaying an ongoing, early-stage clinical trial. (Feuerstein, 11/7)
VillageMD, a unit of Walgreens Boots Alliance, will acquire Summit Health-CityMDâŻfor $8.9 billion, the companies announced Monday. (Hudson, 11/7)
Pharmacy benefit manager Express Scripts Inc has agreed to pay $3.2 million to settle claims that it overcharged Massachusetts' workers' compensation insurance system for prescription drugs, Massachusetts Attorney General Maura Healey announced Monday. (Pierson, 11/7)
KHN: Pfizerâs Covid Cash Powers A âMarketing Machineâ On The Hunt For New SupernovasÂ
For drugmaker Pfizer, a fortune amassed in the covid pandemic is now paving the path to pharma nirvana: a weight loss pill worth billions. The company has reaped nearly $100 billion from selling covid-19 vaccines and treatments to U.S. taxpayers and foreign governments. With that windfall, it plans to get richer, sinking the cash into developing and marketing potential blockbusters for conditions like migraines, ulcerative colitis, prostate cancer, sickle cell disease, and obesity. (Allen, 11/8)
Also â
A federal judge denied Elizabeth Holmesâs bid for a new trial, the latest setback for the Theranos Inc. founder who was convicted of fraud in January. U.S. District Judge Edward Davila, who oversaw Ms. Holmesâs trial which began last year, said in a ruling late Monday that the arguments in her three motions for a new trial didnât introduce material new evidence or establish government misconduct, adding that a new trial was unlikely to result in an acquittal. (Somerville, 11/8)
State Watch
In Texas, Medicaid Expansion Is Still A Republican Taboo
One afternoon in April 2021, state Sen. Nathan Johnson sprinted through the Texas Capitol building, determined to reach the House chamber in time to see history made. For one of the few times since the Affordable Care Act was passed in 2010, the full Texas House was going to vote on a proposal to expand Medicaid, the program that provides health care to Americaâs poorest. (Krisberg and Leffler, 11/7)
Three health care groups are challenging how the Florida Agency for Health Care Administration is carrying out a requirement that âdirect careâ workers get paid a minimum of $15 an hour. (Saunders, 11/7)
The three stores will shutter in quick succession: 2275 Washington Street near Roxburyâs Nubian Square is set to close Tuesday, 1329 Hyde Park Avenue in Hyde Park on Wednesday, and 90 River St. in Mattapan on Thursday. The pharmacies â all located in overwhelmingly Black and Hispanic communities â are transferring patient files to other Walgreens locations, but each are at least a mileâs walk away. (Gerber, 11/7)
An Augusta hospital is planning a $36 million expansion of its cancer treatment center, anticipating that the region it serves will see more cancer cases in the coming years. (O'Brien, 11/7)
State Sen. Dave Cortese said he was inspired to draft the bill in part by a Bay Area News Group report last month, which found that fentanyl deaths have spiked sixfold among California youths aged 15-to-24 in the last three years. âFentanyl now causes one fifth of youth deaths in California,â Cortese said, citing the report. âIt canât wait any longer.â (Nickerson, 11/7)
Editorials And Opinions
Viewpoints: Pediatric Hospitals Are Struggling; New System Needed To Oversee Disaster-Related Health Issues
Pediatric hospital leaders are now confronting unprecedented challenges that have emerged in the aftermath of the height of the COVID-19 pandemic. Among them are a youth mental health crisis and large-scale staffing shortages leaving hospitals depleted of their most vital resource. (Paul Kempinski, 11/8)
When investigating the health effects of a disaster like a hurricane or an oil spill on community members and cleanup workers, the most valuable information for researchers is timely health and exposure data from them. (Susan Arnold, 11/8)
Itâs open-enrollment season and, once again, Floridians are facing a bigger jump in Obamacare premiums (7.2%) than the rest of the country (6.2%). This yearâs increase means that, since the law took effect, Obamacare premiums have risen a cumulative 265%. (Michael F. Cannon, 11/7)
Building, strengthening and maintaining connections through marketing is especially critical and challenging for the healthcare industry, where lives are at stake and trust is paramount. (Mary Ellen Podmolik, 11/8)
Californians have an opportunity on Tuesday to protect the health of their children by voting yes on Proposition 31, which would be a vote to prohibit the sale of nearly all flavored tobacco products in the state. Itâs a much-needed move, and one that every state in the nation should be taking. (Margaret Foti and Clifford Hudis, 11/7)