Welcome back to the Friday Breeze, where I can offer you a break from the Comey memos with a quick look at what you need to know about this week鈥檚 health care news.
Some recent abortion laws聽and legislative proposals in the states seem so strict they鈥檙e almost begging for a court challenge. And they are. Activists who think the Supreme Court is one Donald Trump-appointed justice away from overturning聽Roe v. Wade聽want to have a legal challenge in the pipeline ready to go. Others in the movement would rather focus on incremental changes, which is getting on the nerves of the more aggressive activists.聽鈥淭hey鈥檙e standing in the way,鈥澛燫ep. Steve King (R-Iowa) says in Politico鈥檚 story. 鈥淚鈥檝e said, 鈥楶lease lead, or get out of the way.鈥欌��
Tying performance and costs is a bit of a Hot Strategy these days, as everyone talks about ways to bring down health care spending. But Italy, which has been trying this approach for more than a decade, serves as a cautionary tale that, at least for drug prices, the efforts don鈥檛 really move the needle. Mostly because there鈥檚 a wide range of opinions on what exactly 鈥渟uccess鈥� looks like.
And in a look ahead: President Donald Trump is planning a big speech on drug prices next week. But don鈥檛 get excited鈥� no new policies are expected to be announced.
There was a lot of movement on the opioid crisis again this week ( who are recovering from addiction; Sen. Bernie Sanders (I-Vt.) ; and scientists working on a ). But a deeper recurring theme was how ethics would play into combating the epidemic. What role does the industry that helped create the crisis play in fixing it? Does it matter that advocates who are lobbying for more spending are going to profit from that newly opened congressional wallet? It鈥檚 a tricky minefield to navigate.
Dr. Ronny Jackson, Trump鈥檚 nominee for VA secretary, is eager to please, well-liked and ambitious, according to a telling background profile by The Washington Post. But notably absent from the heaping of bipartisan praise were endorsements on his ability to lead the sprawling, troubled agency.
In the miscellaneous file for this week: There鈥檚 a disturbing pattern of leniency and forgiveness toward doctors who are accused of sexual assault, and not even the #MeToo movement seems to be changing it; livers like to be kept 鈥渨arm and happy鈥� instead of put on ice (which led to my favorite lede from the week about how livers are聽not beers that you pack in a cooler for your camping trip); nefarious profiteers are persuading women to get surgeries they might not need just because that makes them better plaintiffs; and what happens when the teaching hospitals that are supposed to train new doctors instead pass off their bad habits?
And former first lady Barbara Bush鈥檚 decision to stop medical treatment and seek comfort care this week stirred a debate over the emotionally charged topic of end-of-life decisions.
Kaiser Health News:聽Barbara Bush鈥檚 End-Of-Life Decision Stirs Debate Over 鈥楥omfort Care
Have a great weekend, ? I know, such a hardship.
And let us know what you think of The Friday Breeze here.