Why We May Never Know Whether the $56,000-a-Year Alzheimerās Drug Actually Works
It could take years for follow-up studies to prove Aduhelm slows the disease ā or doesnāt. Meanwhile, its maker will profit.
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It could take years for follow-up studies to prove Aduhelm slows the disease ā or doesnāt. Meanwhile, its maker will profit.
The potential benefits of Aduhelm are small, its effectiveness is not certain, and even the FDA Thursday shifted its guidance on who should get the drug. But physicians are dealing with an onslaught of interest from patients and their families, and figuring out which patients are best positioned to be helped by the drug will be difficult.
Aduhelm, approved by the Food and Drug Administration last month despite questions about its efficacy, could be prescribed to at least 1 million patients a year, for a price tag of about $56 billion. Experts suggest there might be better ways to spend that money.
The covid pandemic and President Joe Biden's agenda ā a planned $400 billion infusion of support ā have focused national attention on the need to expand home- and community-based long-term care services designed to keep people out of nursing homes. But the need far outpaces the staffing.
Millions of older adults want to be comfortable going online and using digital tools to enhance their lives. But many need help. A number of groups around the country offer assistance.
Despite a hearts-and-minds campaign and millions spent in incentives, managers struggle to get staffs vaccinated against covid. Some workers have threatened to quit over the pressure to get a shot, which employers canāt afford.
Federal officials say that some of the money changing hands has corrupted doctors and endangered patients.
Across the country, doctors report that those hospitalized with covid now are largely unvaccinated. New York City lags the rest of the nation in vaccinating people 65 and older, and its efforts to reach the homebound and disabled have been late in coming and disorganized.
Criminal charges filed against two officers who injured a Colorado woman with dementia donāt address the fact that police often lack the skills to effectively deal with suspects with mental disabilities.
Phone visits became an option for many Medicare and Medicaid patients during the pandemic. Now policymakers are deciding whether theyāre worth the money.
Connecticut residents who learned how to communicate with family and friends through digital technology when their nursing homes closed to visitors last year used that skill to testify remotely during legislative hearings on bills affecting them.
Chiquita Brooks-LaSure, the new head of the Centers for Medicare & Medicaid Services, said the administration will focus on getting more people insured and is interested in finding a way to alleviate the gap keeping low-income families in states that havenāt expanded Medicaid from enrolling in Affordable Care Act health plans.
The number of Americans 65 and older is expected to nearly double in the next 40 years. Finding a way to provide and pay for the long-term health services they need won't be easy.
Experts offer advice on how seniors struggling with physical, emotional and cognitive challenges following a year of being cooped up can address issues such as muscle weakness, poor nutrition, disrupted sleep, anxiety and social isolation.
A little-discussed, long-term toll of the pandemic is that large numbers of older adults have become physically and cognitively debilitated and less able to care for themselves after sheltering in place.
When the covid pandemic hit, Dr. Rebecca Elon was thrust into a new role, primary caregiver for her severely ill husband and her elderly mother. āReading about caregiving of this kind was one thing. Experiencing it was entirely different,ā she says.
Across Appalachia and the Mississippi Delta, where death rates from stroke are above the national average, routing patients from rural areas to the right level of care can be an intricate jigsaw puzzle. The closest hospital might not offer the full scope of stroke treatments, but hospitals with more advanced care could be hours away.
Even as the nation has moved on to vaccinating everyone 16 and older, the vast majority of people homebound due to frailty or age ā and among the most vulnerable to covidās devastation ā have not yet been vaccinated. California offers a sharp lens on the challenges.
How do dozens of people living communally decide what to do during a public health crisis when members have varying tolerance for risk and different opinions about safe practices?
Medicare Advantage company may face record penalty over alleged billing errors.
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