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Wednesday, Jan 30 2019

Full Issue

Viewpoints: Does Endorsing Single Payer, Like Kamala Harris Does, Really Go Far Enough?; Lessons From Anesthesiologists On Stemming Opioid Abuse

Opinion writers weigh in on these health care topics and more.

On Monday night, Sen. Kamala D. Harris 鈥 whose presidential campaign rollout is going extremely well, you have to admit 鈥 did a town hall on CNN, answering all kinds of questions from a studio audience. At one point, someone asked about her position on health care and she said that she supports 鈥淢edicare-for-all,鈥 then talked in general terms about why health care has to be a right and not a privilege. But as we know, candidates can mean different things when they say Medicare-for-all. Most importantly, they might mean something like Bernie Sanders鈥檚 true single-payer plan, in which there would be only one insurer and private insurance would essentially cease to exist, but they might also mean something that would better be termed Medicare Access For All, in which people could choose to keep their private insurance or buy into Medicare (or Medicaid). (Paul Waldman, 1/29)

Universal health care. A Green New Deal. An assault-weapons ban. These are the progressive issues that most Democrats running for president in 2020 will not only unapologetically endorse but be expected to support if they have any chance of winning the Democratic primary. Call it the Bernie Sanders effect. Or the AOC influence. (Colby Itkowitz, 1/29)

For one in 10 surgical patients, surgery is the gateway to long-term opioid abuse. Oregon has one of the highest rates of prescription opioid misuse in the nation. As doctors who care for you in the operating room as well as in the pain management clinic, physician anesthesiologists are uniquely poised to help combat Oregon鈥檚 opioid crisis. (Kate Ropp, 1/24)

Earlier this month, hundreds of aggrieved parents gathered outside the government office in Jinhu County, in the eastern province of Jiangsu, demanding an explanation for why 145 infants had been administered expired doses of the polio vaccine. It was China鈥檚 fifth vaccine scandal in less than seven years, and yet another blow to the country鈥檚 drug industry, its national immunization program, its regulatory authorities 鈥 and to the very legitimacy of the Chinese Communist Party (C.C.P.). (Yanzhong Huang, 1/30)

An important first step is a more intense focus on prevention. It offers a truly cost-effective solution, as somewhere between one-third and one-half of all cancers are preventable. Tobacco smoking, physical inactivity, excess weight, unhealthy eating habits, and heavy alcohol use 鈥 all of which are modifiable 鈥 contribute to the development of a wide range of cancers. (Julie L. Gerberding, 1/29)

BENI, Democratic Republic of Congo 鈥 A young mother stepped out of the ambulance into the triage area of our Ebola Transit Center, here in the northeast of the country. She moved slowly, careful not to wake the sick baby, swathed in layers of linens, that she carried in her arms. They had been brought here for testing because health workers suspected the baby might have Ebola. (Karin Huster, 1/30)

The opioid epidemic is the greatest public health crisis facing the United States since the Spanish influenza of 1918. But while federal and state authorities continue to battle this threat, others work to effectively legalize opioid abuse by opening supervised injection sites in Boston and surrounding towns. Injection sites give addicts a 鈥渟afe鈥 place to inject themselves with heroin and fentanyl 鈥 鈥渟afe鈥 meaning with medical supervision but without the risk of arrest. These sites are a terrible idea and, more important, they are illegal. (Andrew Lelling, 1/28)

The elderly can be especially vulnerable to extremes of temperature. A 93-year-old woman from Harvey, an 82-year-old woman in Beverly, an 88-year-old woman from Burbank and other seniors were among this winter鈥檚 cold victims, according to the medical examiner. And remember that most of those who died during the infamous 1995 heat wave were elderly residents who couldn鈥檛 afford air conditioning. Take a minute to check on friends and neighbors, especially seniors. You can also call 3-1-1 and request a wellness check. (1/28)

鈥淣o matter how resilient the people of Minnesota may be, this weather should be taken seriously,鈥 Gov. Tim Walz said Tuesday. He鈥檚 new on the job, but we expected a little more of a pep talk from the former high school football coach. Something like, 鈥淪uck it up!鈥 This newspaper advised its readers to watch 鈥淩ear Window鈥 and eat soup. That鈥檚 always a good call, and advice many of us followed long before we had windchill and black ice. All kidding aside, be safe Minnesota 鈥 this is seriously dangerous weather. And turn up those bun warmers. (1/29)

Any day now, the Trump administration is expected to finalize new rules attacking the Title X family planning program that will make birth control and other preventive reproductive health care inaccessible for millions of Americans. This is an obvious calamity for the women and families that rely on Title X, but it would also weaken the economy President Trump claims to care so much about. (1/29)

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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