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Tuesday, Mar 5 2019

Full Issue

Viewpoints: Social Media Giants Finally Get Smart, Block Dangerous Antivaccine Misinformation; Patients Needing Cheaper Insulin End Up Being Winners

Opinion writers weigh in on these health topics and others.

In recent weeks, Pinterest, YouTube, Facebook, and Amazon have done something previously thought unimaginable鈥攖hey鈥檝e censored potentially dangerous health information, at last addressing a problem that started in the late 1990s. ...Although marginalized, activists haven鈥檛 given up, turning their attention from mainstream media to social media, where their misinformation continues to mislead the public and cause harm. It is here that the anti-vaccine groups have thrived. Antivaccine blogs, websites, books, live streamings, podcasts, chat rooms, and Facebook pages dominate the landscape. Recently, and surprisingly, social media outlets have started to push back. (Paul Offit, 3/4)

The debate over drug pricing has featured聽complicated arguments聽over profit,聽innovation, and fairness. At the end of the day,聽it鈥檚 all about patients being able to afford medicine 鈥撀燼nd Monday brought聽one of the biggest victories yet on that front. Eli Lilly & Co. announced that it's聽launching an authorized generic version of its best-selling insulin Humalog and that the聽list price of聽the drug 鈥撀爐he pre-discount sticker price of the medicine 鈥撀爓ill be 50 percent lower than the current prescription brand. A vial of the new cheaper product will cost $137.35. (Max Nisen, 3/4)

The Brits and Canadians I know certainly love their single-payer health care systems. If one of their politicians suggested they should switch to the American health care model, they鈥檇 throw him out the window. So single-payer health care, or in our case 鈥淢edicare for all,鈥 is worth taking seriously. I鈥檝e just never understood how we get from here to there, how we transition from our current system to the one Bernie Sanders has proposed and Elizabeth Warren, Kamala Harris and others have endorsed. (David Brooks, 3/4)

The president of the United States gave a rambling and incoherent two-hour speech in which he raved like a lunatic and told crazy, self-serving lies from start to finish. If that no longer qualifies as alarming, we鈥檙e in serious trouble. (Eugene Robinson, 3/4)

Access to quality health care took a direct hit with the release of a new, finalized rule governing the Title X Family Planning Program 鈥 the nation鈥檚 only dedicated federal source of funding providing family planning services and supplies to low-income people. (Ginney Ehrlich, 3/4)

The gun-reform bills the House passed last week are likely not going to pass the Senate. And even if they do, the president won鈥檛 sign them. And why not? Because people don鈥檛 care enough about gun regulation. Of course, plenty of people support gun regulation. In fact, most people do. The vast majority of the U.S. public supports expanded background checks. And after the horrific shooting in Parkland, Fla., a little more than a year ago, support for stricter gun laws surged to close to 70 percent, including more than 50 percent of Republicans. (Robert Gebelhoff, 3/4)

It isn鈥檛 easy to ruffle my friend of 30 years, one of the best gastroenterologists in Boston, a town known for top-notch medicine. But he was ruffled when he told the story of giving a patient anesthesia and performing a medically unnecessary procedure鈥攐nly he hadn鈥檛 known it was unnecessary because the patient鈥檚 electronic health record, or EHR, didn鈥檛 function as promised. If you鈥檝e heard of EHRs, you know that many doctors consider them a pain in the neck. Not much is said, however, about the harm EHRs can cause to patients. There鈥檚 a reason for that: Gag clauses prevent EHR users from talking publicly about their specific problems. (John Levinson, 3/4)

Diversity and inclusion tend to get more lip service than action, often because business leaders don鈥檛 always recognize the connection between the two and company performance. That鈥檚 a mistake, because they are inextricably linked. In fairness, creating a diverse company can be a challenge if you鈥檙e leading a new company and don鈥檛 know where to start, or if you鈥檙e a more established leader whose company didn鈥檛 prioritize diversity early on. But it鈥檚 a challenge worth tackling head on: fostering a culture of diversity isn鈥檛 just the right thing to do for your people, it鈥檚 good business. (Jude Komuves, 3/4)

The nation is awash in leftover prescription opioids. Approximately聽1.4 billion聽opioid prescriptions were dispensed from 2012 to聽2017. Of those, we know that聽up to 70%聽of opioids prescribed for post-surgical use were leftover and unused. A 2017 study published in JAMA found that among patients prescribed opioids following surgery, 67 percent聽to 92 percent聽reported having unused opioids. Its authors concluded that, 鈥淯nused opioids prescribed for patients after surgery are an important reservoir of opioids available for nonmedical use and could cause injuries or even deaths.鈥 It is time for a nationwide intervention 鈥 one home at a time. (Mary Bono and Arthur Dean, 3/4)

Texas faces a fast-approaching health care crisis that no one is talking about: the expiration of an agreement with the federal government that would strip the state of $6 billion a year. Texas relies on this funding to care for Texans. It supports hospitals, especially in rural areas, and makes vital medical and behavioral health care more available throughout the state. (Doug Curran, Rebecca Hart, John Henderson and Ted Shaw, 3/4)

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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