First Edition: December 7, 2018

These days’s early morning highlights from the main information organizations.

Kaiser Health News:
More Than Half Of California Nursing Homes Balk At Stricter Staffing Rules

Greater than part of California’s nursing properties are asking to be exempted from new state laws that will require them to spend extra time at once taking care of their sufferers. The state’s new staffing necessities for nursing properties, quietly handed in ultimate yr’s funds invoice, appear universally unpopular. Affected person advocates say the brand new laws don’t pass a ways sufficient and that citizens stay in peril in poorly staffed properties. Nursing house operators say they are able to’t rent sufficient group of workers to conform. (Feder Ostrov, 12/7)

The Associated Press:
Report: US Health Spending Hits $3.5T But Growth Slows

The country’s fitness care tab hit $three.five trillion ultimate yr, or $10,739 in keeping with particular person, the federal government reported Thursday. However at the back of the ones staggering figures used to be some rather just right information: The speed of enlargement slowed for the second one yr in a row, consistent with financial mavens on the federal Well being and Human Services and products division. Well being care spending larger by way of three.nine % in 2017, following a four.eight % building up in 2016. Personal insurance coverage spending grew extra slowly in 2017, and so did Medicaid, whilst Medicare prices grew at about the similar charge. The full financial system grew quicker than fitness spending. (Alonso-Zaldivar, 12/6)

The New York Times:
Growth Of Health Care Spending Slowed Last Year

However the charge of building up for the main classes — medication, docs and hospitals — used to be extra modest than in recent times. For the primary time in numerous years, fitness spending grew at about the similar charge because the financial system as an entire in 2017. So the proportion of the financial system dedicated to fitness care stabilized. In contrast, over the last few many years, fitness spending has normally grown quicker than the financial system. (Pear, 12/6)

The Wall Street Journal:
Growth In U.S. Health-Care Spending Slows

The document, revealed within the magazine Well being Affairs, mentioned the slowdown could also be connected, partially, to the loss of enlargement in medical insurance enrollment. The insured charge of the inhabitants edged all the way down to 90.nine% ultimate yr from 91.1% in 2016. The document additionally pointed to adjustments in quite a lot of fitness sectors, together with a shift to lower-priced generic medication and no more use of high-price forte drugs. … The brand new spending records are prone to gasoline additional discussions in Congress, the place lawmakers had been wrapping up hearings at the excessive price of fitness care. Well being care used to be a central factor within the midterm elections, with polls appearing many American citizens frightened about the cost of care and the opportunity of shedding advantages. (Amour, 12/6)

The Associated Press:
Obama Health Law Sign-Ups Lagging For 2019

With open enrollment finishing subsequent week, the federal government says sign-u.s.for protection beneath former President Barack Obama’s fitness care legislation are lagging in comparison with ultimate yr. Figures launched Thursday by way of the Facilities for Medicare and Medicaid Services and products display that about three.2 million other folks have signed up up to now for backed personal insurance coverage, in comparison with about three.6 million on the identical time ultimate yr. Open enrollment ends Dec. 15. Well being legislation supporters are involved. The selection of new consumers is down just about 18 %. (12/6)

The New York Times:
Why Is Obamacare Enrollment Down?

Greater than midway throughout the sign-up duration for Obamacare fitness plans, fewer other folks have enrolled in protection than all through the similar stretch ultimate yr. Enrollment throughout the federal website online, which manages insurance coverage marketplaces in 39 states, is down 11 % in comparison to 2017, consistent with authorities figures launched Thursday. Given President Trump’s attack at the legislation, many of us are looking at this yr’s enrollment carefully for clues to its sturdiness. Whilst it’s too quickly to attract any company conclusions, there are a number of causes sign-u.s.might be decrease — and no longer they all spell bother for the landmark law. (Abelson and Sanger-Katz, 12/6)

The Hill:
Maine Judge Denies GOP Governor’s Request To Stay Medicaid Expansion Order

The courtroom on Thursday behind schedule a prior closing date it had set for enrollments in Medicaid growth to start from Dec. five to Feb. 1, which means the brand new management will probably be in position when enrollments get started. “This is excellent news in that the courtroom is denying the request for a keep, on the identical time the courtroom is extending the closing date for rulemaking and enrollment to February 1st,” mentioned Robyn Merrill, government director of Maine Equivalent Justice Companions, the advocacy staff suing in desire of imposing Medicaid growth. (Sullivan, 12/6)

The Associated Press:
Surgeon General: Federal Drug Classification Needs Changes

The country’s drug classification machine must be revisited however unlawful medication shouldn’t merely be decriminalized national, U.S. Surgeon Normal Jerome Adams informed a meeting of police leaders targeted at the opioids disaster Thursday in Boston. “Our scheduling machine is functioning, however no longer as preferably as it might,” he mentioned of the federal time table for managed elements maintained by way of the Drug Enforcement Management and the Meals and Drug Management. “Issues aren’t static. We need to proceed to conform.” (Marcello, 12/6)

The New York Times:
Trump Rule Would Limit E.P.A.’s Control Over Water Pollution

The Trump management is anticipated to position forth an offer on Tuesday that will considerably weaken a significant Obama-era legislation on blank water, consistent with a speaking issues memo from the Environmental Coverage Company that used to be dispensed to White Space allies this week. The Obama rule used to be designed to restrict air pollution in about 60 % of the country’s our bodies of water, protective assets of consuming water for approximately a 3rd of america. It prolonged current federal authority to restrict air pollution in massive our bodies of water, just like the Chesapeake Bay and Puget Sound, to smaller our bodies that drain into them, equivalent to tributaries, streams and wetlands. (Davenport, 12/6)

The Associated Press:
Trump EPA Acts To Roll Back Control On Climate-Changing Coal

The Environmental Coverage Company acted once more Thursday to ease regulations at the sagging U.S. coal trade, this time scaling again what would had been a tricky regulate on climate-changing emissions from any new coal crops. The most recent Trump management focused on of legacy Obama management efforts to gradual weather alternate comes within the wake of multiplying warnings from the company’s scientists and others in regards to the accelerating tempo of worldwide warming. (Knickmeyer, 12/6)

The Associated Press:
Groups Sue To Block Medical Marijuana Compromise In Utah

A couple of advocacy teams in Utah sued Thursday to dam a compromise settlement legalizing clinical marijuana, accusing the Mormon church of unconstitutional domination and interference in a procedure that ended in the gutting of a measure licensed by way of electorate. The lawsuit alleges the revised initiative creates overwhelming stumbling blocks for struggling sufferers who need to download the drug. It additionally asks a pass judgement on to put aside the revision handed by way of lawmakers and stay the unique model that received with 53 % of the vote in November. (McCombs and Whitehurst, 12/6)

USA Today and Sioux Falls Argus Leader:
Violated: How The Indian Health Service Betrays Patient Trust And Treaties In The Great Plains

Dozens of sufferers have died needlessly because of mistakes made in IHS hospitals in South Dakota by myself. 1000’s extra within the state’s rural Indian reservations face restricted get entry to to number one care suppliers, lengthy wait instances for elementary clinical remedies and exceptional clinical debt for essential care sought out of doors the federally-funded amenities. The government has in large part omitted the deplorable prerequisites. Even well-intentioned lawmakers representing states with vital Local American populations have did not make significant alternate, together with South Dakota’s Congressional delegation. In the meantime, the U.S. authorities stays in violation of its treaty promise to supply fitness care to Local American citizens. (Ferguson, 12/6)

Special Report: After A Child’s Dire Diagnosis, Hope And Uncertainty At The Frontiers Of Medicine

Only a few years previous, that path would had been grimly easy: greater than a yr of chemotherapy that may prevent the tumor from increasing. Sufferers like Natan may wish to repeat this punishing remedy a number of instances in adolescence and face a lifetime of expanding impairment because the mass robbed them in their skill to respire or stroll on their very own. Now, we have been informed, there used to be a slender probability Natan may just beat again the tumor by way of simply swallowing a tablet two times an afternoon, with few, if any, negative effects. Within the 15 years since scientists finished the primary map of an individual’s genome – the collection of DNA molecules which might be the original genetic blueprint of each person – the method has turn out to be frequently quicker and less expensive. With the ideas such trying out yields on tumor cells, researchers are creating medication to focus on, one at a time, explicit disease-causing genetic abnormalities, prolonging and bettering the lives of tens of hundreds of other folks whose sicknesses have been as soon as a dying sentence. And so they’ve most effective simply begun. (Gershberg, 12/6)

Special Report: Learning About Targeted-Therapy Options

After we have been informed our son had a probably life-threatening mind tumor, our circle of relatives used to be fortunate to have world-class docs and hospitals just about house and medical insurance that lined just about all his clinical bills and prescription drug prices. Those sources helped us make a hard determination referring to remedy, a state of affairs many extra households would possibly face as trendy drugs evolves. Listed below are some questions they are going to need to imagine, in keeping with our revel in and interviews with most cancers mavens. (Gershberg, 12/6)

The Wall Street Journal:
Congress To Drug Makers: Why Stock Buybacks Over Lowered Drug Prices?

Critics of excessive drug costs are launching a brand new line of assault towards producers of the medications, faulting the corporations for the use of financial savings from the tax overhaul to shop for again stocks quite than decrease costs. The assaults started in October, when greater than a dozen Democrats within the Space of Representatives despatched letters to 5 giant pharmaceutical firms announcing they’d benefited from contemporary tax cuts however saved charging excessive costs. The letters singled out positive medication whose listing costs had larger and requested their producers for information about fee adjustments and the prices of analysis and promoting. (Loftus, 12/6)

Democrats Are Eyeing A Valuable Pharma Asset: Its Patents 

Democrats, newly empowered in D.C. and at the hunt for larger and bolder tactics to decrease drug costs, are all of sudden taking purpose at a much more central a part of pharma’s monopoly energy: the patents the trade holds on its medication. For years, lawmakers from each events have shied away to deal with the trade’s highbrow assets. Muck with a drug corporate’s government-granted monopoly, the considering is going, and investments in analysis and construction will disappear. Pharma even helped to scuttle a extensive, bipartisan patent reform effort in 2015, partially for the reason that trade frightened that even small adjustments interested by unhealthy actors would open the door to larger ones. (Facher, 12/7)

The Wall Street Journal:
Solving China’s Drugs-Price Problem Is Hurting Drugmakers

China’s remedy for its health-care issues is inflicting various ache for drugmakers. Simply as within the U.S., dear pharmaceuticals have lengthy been a headache in China. Govt insurance coverage typically doesn’t quilt the whole fee of substances for sufferers, such a lot of need to pay a hefty portion out of their very own wallet, particularly the ones with severe illnesses. In its newest bid to decrease drugs prices, the Chinese language authorities just lately requested drugmakers to bid for the suitable to provide hospitals in 11 primary towns, together with Shanghai and Beijing. The winners will probably be the ones keen to just accept the bottom costs. Hospitals are the largest patrons of substances in China, accounting for 68% of the $200 billion marketplace, consistent with health-data corporate Iqvia. (Wong, 12/7)

The Associated Press:
Generic Drugmaker To Sell Alternative To EpiPen Injectors

Generic drugmaker Sandoz introduced plans Thursday to begin promoting an alternative choice to the EpiPen within the U.S. early subsequent yr. The EpiPen injector is used to halt life-threatening hypersensitive reactions to insect bites, nuts and different meals. Logo-name EpiPen, which dominates the marketplace, has been briefly provide since spring as a result of manufacturing issues. (Johnson, 12/6)

USA Today:
Walgreens Launching Next-Day Prescription Delivery Service With FedEx

Walgreens is launching a next-day prescription supply provider as pharmacies brace for the potential of Amazon’s access into their global. The pharmacy chain introduced Thursday that it’s partnering with FedEx to provide drug supply during the country in a brand new program referred to as Walgreens Specific. The corporate’s transfer comes after archrival CVS Well being just lately an overly equivalent supply provider. (Bomey, 12/6)

The Wall Street Journal:
Walgreens Launches Next-Day Prescription Home Delivery With FedEx

Below the supply provider referred to as Walgreens Specific, sufferers enrolled in textual content indicators will obtain textual content notification when qualifying prescriptions are able, Walgreens mentioned Thursday. For a $four.99 rate, sufferers will have their prescriptions delivered by way of FedEx to their house as early as day after today. Similar-day supply is lately to be had in Dallas, Chicago, New York Town, and Florida towns Miami, Gainesville, Tampa, and Citadel Lauderdale. The corporate mentioned it’s going to enlarge the way to further places in 2019. (Al-Muslim, 12/6)

The New York Times:
Drug Maker Pays $360 Million To Settle Investigation Into Charity Kickbacks

The drug maker Actelion Prescribed drugs has agreed to a $360 million agreement stemming from an investigation into whether or not the corporate illegally funneled kickbacks via a patient-assistance charity, federal prosecutors mentioned Thursday. Actelion, which used to be received by way of Johnson & Johnson in 2017 and makes dear medication to regard a unprecedented lung situation, is the newest pharmaceutical corporate to settle federal inquiries into their ties to patient-assistance teams, together with whether or not firms have used the affected person techniques to extend the cost of their medication. (Thomas, 12/6)

J&J Unit To Pay $360 Million To U.S. To Resolve Charity Kickback Probe

Drug firms are prohibited from subsidizing co-payments for sufferers enrolled within the Medicare authorities healthcare program for the aged. However firms would possibly donate to non-profits offering co-pay help so long as they’re impartial. Amid larger consideration on emerging drug costs in america, there was worry that donations from drugmakers to patient-assistance teams could also be contributing to worth inflation. (Raymond, 12/6)

Roche’s Lung Cancer Combo Treatment Wins FDA Approval

Swiss drugmaker Roche Preserving AG mentioned on Thursday that its Tecentriq immunotherapy together with Avastin and chemotherapy received U.S. Meals and Drug Management approval as a first-line remedy for a kind of lung most cancers. … The drug on Wednesday had additionally received precedence evaluate from the U.S. regulator for treating sufferers with untreated extensive-stage small mobile lung most cancers. (12/6)

Amazon Push Into Health Data Analytics Inspires Awe — And Skepticism

Amazon’s announcement that it might mine the knowledge of fitness care suppliers for medical and analysis advantages displays the tech large’s energy to transport briefly into new fitness arenas, however the herbal language processing provider it is providing isn’t new. Amazon labored for a yr with Fred Hutchinson Most cancers Analysis Heart — a five-minute stroll from Amazon’s Seattle headquarters — to coach its instrument to extract essential details about every affected person’s situation, signs, drugs and characteristics. (Allen, 12/five)

The Wall Street Journal:
Hacking Health Care: How Tech Will Drive Down Costs

Human beings are more secure as of late than at any time in historical past. We are living greater than two times so long as we did in 1900 thank you, largely, to advances in era. However our larger lifespan comes at a worth. The U.S. spends $three.five trillion every yr on fitness care, and the government shoulders greater than 28% of that price. The Census Bureau initiatives that 20.6% of American citizens will probably be over the age of 65 by way of 2030, in comparison to 15.24% in 2016. The U.S. is going through a retirement wave that can pressure our health-care machine. As head of CTA for 3 many years, I’ve watched the clinical group use new era to make advances in the whole lot from nutrition science to illness detection. A lot of this era has no longer been extensively examined, and a few of it raises tricky questions on privateness and cybersecurity. However AI, sensors or even virtual assistants like Amazon’s Alexa may just assist stay prices down and beef up care. Right here’s how. (Gary Shapiro, 12/6)

The Associated Press:
Nobel Laureates: Despite Progress, Cancer Won’t Be Wiped Out

The winners of this yr’s Nobel Prize for Drugs say they be expecting really extensive advances towards treating most cancers within the subsequent a number of many years, even if it’s not going the illness might be eliminated. “Quickly we’ll get shut with some cancers,” [James] Allison mentioned, bringing up development towards some paperwork together with melanoma. However, he mentioned, “the arena won’t ever be cancer-free.” (Bzganovic, 12/6)

The Associated Press:
School Lunch Rules OK Refined Grains, Low-Fat Chocolate Milk

The U.S. college lunch program is making room on menus once more for noodles, biscuits, tortillas and different meals made most commonly of delicate grains. The Trump management is scaling again contested college lunch requirements carried out beneath the Obama management together with one who required most effective complete grains be served. The U.S. Division of Agriculture mentioned Thursday most effective part the grains served will wish to be complete grains, a metamorphosis it mentioned will get rid of the present paperwork of requiring faculties to acquire particular waivers to serve choose delicate grains meals. (Choi, 12/6)

USA Today:
Romaine Lettuce E. Coli Outbreak: Nine More Sickened, CDC Says

9 extra other folks have turn out to be in poor health after consuming romaine lettuce amid an E. coli outbreak, consistent with the Facilities for Illness Keep an eye on and Prevention. The full of other folks inflamed is now 52 throughout 15 states, the CDC mentioned Thursday. The perfect selection of circumstances had been reported in California and New Jersey, every reporting 11 other folks in poor health. Seven other folks in Michigan, and 6 every in New Hampshire and New York have been reported. Different states affected come with: Connecticut, Florida, Illinois, Louisiana, Massachusetts, Maryland, Ohio, Pennsylvania, Rhode Island and Wisconsin.  (Might, 12/7)

The New York Times:
Getting Past The Barriers: When A Mother Is In Prison

These days, over 200,00zero girls are imprisoned in america, the bulk for nonviolent drug or assets offenses, that have just lately skyrocketed in reference to the opioid disaster. The selection of kids in foster care or residing with kinfolk has soared as effectively. In keeping with the Vera Institute of Justice, a nonprofit analysis group, girls are the rustic’s fastest-growing jail inhabitants, and 80 % of them are moms. The vast majority have been the principle caregivers in their kids. (Valencia, 12/6)

Programs Help Incarcerated Moms Bond With Their Babies In Prison

Sonya Alley is the Correctional Unit Manager overseeing the Residential Parenting Program at WCCW. She says this system offers girls a tangible strategy to flip their lives round. “It will get them out in their addictive previous and co-dependency on medication, or alcohol or relationships,” she says. “It kind of feels oxymoronic however there may be some readability when pressured to do a jail sentence and compelled to be a guardian. It begins to shift the best way the ladies consider themselves, their environments and in need of the most efficient for themselves and their kid.” (Corley, 12/6)

The New York Times:
‘A Witness That They Were Here’: Los Angeles Honors 1,457 Of Its Unclaimed Dead

They’re the forgotten other folks of Los Angeles — 1,457 other folks, to be precise. Previous, deficient, homeless, small children born untimely and deserted. They will have died by myself, however they have been buried in combination, in a mass grave, and have been venerated in combination this week in an interfaith rite that has been an annual ritual in Los Angeles for greater than a century. (Arango, 12/7)

USA Today:
Suicide Survivor Answers Questions On How She Prevents Another Attempt

The Facilities for Illness Keep an eye on and Prevention launched new numbers ultimate week appearing that the country’s suicide charge is up 33% in not up to 20 years. Suicide is a increasing drawback, but stigma continuously prevents other folks from speaking overtly about it. Shelby Rowe tried to take her personal lifestyles virtually 10 years in the past, however she survived. She is one one in all thousands and thousands of American citizens who live on suicide makes an attempt and pass directly to reside complete, wholesome lives. USA TODAY undertaking reporter Alia Dastagir interviewed Rowe, a pace-setter within the box of suicide prevention, for USA TODAY’s Surviving Suicide challenge. Rowe and Dastagir replied questions on suicide all through a Reddit AMA Monday. (12/6)

The Associated Press:
EKG, Other Heart Health Features Come To Apple Watch

Apple Watch is now satisfying its promise to let other folks take EKGs in their center and notify them of any abnormal heartbeat. Apple introduced the guts options in September, however didn’t lead them to to be had till Thursday. The brand new options had been given clearance by way of the U.S. Meals and Drug Management and are for U.S. consumers most effective. (12/6)

The Washington Post:
Apple Now Says Its Smartwatch Tech To Detect Atrial Fibrillation Is Not For Those With Atrial Fibrillation

The effective print on Apple’s newest foray into fitness care carries a reputedly odd caveat: its new Apple Watch era to locate atrial traumatic inflammation isn’t supposed for individuals who have atrial traumatic inflammation. The contradiction sums up the deeper questions raised by way of the advent of a mass-market tracking instrument for the guts. Apple’s merchandise are designed to encourage, with blank designs and seamless operation. However fitness care is messy and unpredictable. (Rowland, 12/6)

The Associated Press:
Study That Took Aim At ‘Joy Of Cooking’ Is Retracted

Extra paintings by way of a outstanding meals researcher, together with a find out about that took purpose on the “Pleasure of Cooking,” has been retracted as a result of issues of the knowledge. The Annals of Interior Drugs retracted a find out about that mentioned the ebook’s recipes modified with up to date editions to incorporate extra energy and larger parts. It mentioned a reanalysis by way of co-author Brian Wansink ended in numbers that differed — “many considerably so” — from the broadcast variations. … The retraction is the newest for Wansink, who resigned from Cornell College in September after a college investigation discovered he engaged in instructional misconduct, together with misreporting of information. (12/6)

Robot Punctures Can Of Bear Repellent At Amazon Warehouse, Sickening Workers

Twenty-four employees at an Amazon warehouse in New Jersey have been taken to house hospitals after being uncovered to endure repellent on Wednesday morning, when a robotic punctured a can of the aerosol spray. One girl used to be reported to had been severely injured within the incident, which led to a minimum of 54 employees to have problem respiring, and burning throats and eyes, studies. The warehouse, which is ventilated, measures about 1.three million sq. ft. (Wamsley, 12/6)

This is a part of the KHN Morning Briefing, a abstract of fitness coverage protection from primary information organizations. Join an e-mail subscription.

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