Kentucky counties with highest Medicaid rates backed Matt Bevin, who plans to cut Medicaid
Owsley County, one of the nation's poorest places [prev], neatly fit the trend. Nearly 1,000 of its 4,508 residents got health insurance after Democratic Gov. Steve Beshear established Kynect two years ago and expanded Medicaid to include people up to 138 percent of the poverty level, which is $16,105 a year for an individual. Newly insured people started to visit the Owsley County Medical Clinic on the outskirts of Booneville. They desperately needed medical care. Even by Kentucky's lax standards, Owsley has high rates of obesity, smoking and poor nutrition, and as a result, greater than normal incidences of cancer, heart disease and diabetes. Some patients wept with relief as longtime ailments finally were treated, clinic officials said. [...] The community's largest-circulation newspaper, the Three Forks Tradition in Beattyville, did not say much about Kynect ahead of the election. Instead, its editorials roasted Obama and Hillary Clinton, gay marriage, Islam, "liberal race peddlers," "liberal media," black criminals and "the radical Black Lives Matter movement."Owsley County voted for Bevin, a Tea Party businessman who vowed to dismantle Kynect, by a 70-25 margin. [more inside]
How Quincy M.E. Changed American Law and Saved Lives discusses the serendipitous way that a young man's need for medication for Tourette's syndrome came to the attention of a family member of actor Jack Klugman and resulted in the Orphan Drug Act of 1983. (main article by MeFi's own Garius) [more inside]
The Nazi Anatomists. "How the corpses of Hitler's victims are still haunting modern science—and American abortion politics."
Jennie Linn McCormack "isn’t the only woman in recent years to be prosecuted for ending her own pregnancy. But her case could change the trajectory of abortion law in the United States": The Rise of DIY Abortions. [more inside]
Global Trends 2030 Alternate Worlds is the latest quadrennial report from The US National Intelligence Council (NIC). (Report: PDF / Talking Points: PDF.) Similar to its predecessors, '2030' attempts to predict 'alternate visions of the future.' An official blog discusses their speculations. The Atlantic Council has published a "companion publication": "Envisioning 2030: US Strategy for a Post-Western World." [more inside]
In less than an hour, the Supreme Court will hand down its final judgment in what has become one of the most crucial legal battles of our time: the constitutionality of President Obama's landmark health care reform law. The product of a strict party line vote following a
year century of debate, disinformation, and tense legislative wrangling, the Affordable Care Act would (among other popular reforms) require all Americans to buy insurance coverage by 2014, broadening the risk pool for the benefit of those with pre-existing conditions.
The fate of this "individual mandate," bitterly opposed by Republicans despite its similarity to past plans touted by conservatives (including presidential contender Mitt Romney) is the central question facing the justices today. If the conservative majority takes the dramatic step of striking down the mandate, the law will be toothless, and in danger of wholesale reversal, rendering millions uninsured, dealing a crippling blow to the president's re-election hopes, and possibly endangering the federal regulatory state.
But despite the pessimism of bettors, some believe the Court will demur, wary of damaging its already-fragile reputation with another partisan 5-4 decision. But those who know don't talk, and those who talk don't know. Watch the SCOTUSblog liveblog for updates, Q&A, and analysis as the truth finally comes out shortly after 10 a.m. EST.
This morning marked day two of marathon proceedings in what's likely the most momentous and politically-charged Supreme Court case since Bush v. Gore: the effort to strike down President Obama's landmark health care reform law. While yesterday was a sleepy affair of obscure technical debate, today's hearings targeted the heart of the law -- the individual mandate that requires most Americans to purchase insurance by 2014. With lower courts delivering a split decision before today, administration lawyers held some hope that at least one conservative justice could be persuaded to uphold the provision, which amortizes the risk that makes universal coverage possible. But after a day of deeply skeptical questioning by swing justice Anthony Kennedy and his fellow conservatives [transcript - audio], the mandate looks to be in grave trouble, with CNN legal analyst Jeffrey Toobin going as far as calling the day "a train wreck" for the administration. But it's far from a done deal, with a third day of hearings tomorrow and a final decision not expected until June.
A Political Meltdown: For decades, Canada has been a world leader in the production of medical isotopes. So why did the government announce that it was dumping the entire program? (alt)
Provoking pro-choice advocates, Oklahoma passed two highly restrictive abortion laws on Tuesday. One (rtf file) requires doctors to show women an ultrasound of their fetus and point out its physical characteristics — even if the patient was impregnated through rape or incest. The second (rtf file) stipulates that doctors cannot be sued if they decide to lie to an expectant mother regarding her baby's birth defects. A third requires clinics to post signs telling patients they cannot be forced to have an abortion. The first law prompted an immediate lawsuit from Tulsa's only abortion clinic. [more inside]
Atul Gawande offers a way for health care to be improved through experimentation and pilot programs, much as agriculture was in 20th century
How American Health Care Killed My Father After the needless death of his father, the author, a business executive, began a personal exploration of a health-care industry that for years has delivered poor service and irregular quality at astonishingly high cost. It is a system, he argues, that is not worth preserving in anything like its current form. And the health-care reform now being contemplated will not fix it. Here’s a radical solution to an agonizing problem. (via mr) [more inside]
A simple question shows how complex the issue is. Chris at "Cynical C" asks his fellow citizens where they get thier health care (insurance) from and the incredible diversity of the current options and situations is immediately apparent. Quite spontaneously (but surely not unexpectedly), the question of "How much does it cost you?" becomes an essential part of the answers. Outsiders opine and tell stories and commiserate. [more inside]
Urban legend has it that the province of Saskatchewan, Canada appeared in red in some 1950's American social studies textbooks, along with other "communist" countries such as Russia, China and Cuba. It is true that Saskatchewan's "natural governing party", the socialistic New Democratic Party have held power in the province for 47 of the last 65 years. And it's true that the NDP's most famous leader (and Canada's Greatest Canadian), Tommy Douglas, brought universal healthcare to the province, an achievement which paved the way for it to come to the rest of Canada. But now, after suffering their worst defeat in 20 years, Saskatchewan's New Democratic Party is searching for a new leader... [more inside]
What's wrong with primary care in the US? With a new survey suggesting that nearly half of all primary care physicians would leave medicine if they had a viable alternative, and with American medical schools not generating nearly enough new doctors going into primary care, in this, their first issue to hit doctors' desks since the election, the New England Journal of Medicine has devoted their entire editorial section to exploring yet another challenge that threatens the stability of the US health care system. Video of the roundtable discussion. Individual essays, at times touching, at times hopeful, from various primary care perspectives in the US and Britain. [more inside]
Rehabilitating Carson: "Why do some people continue to hold Rachel Carson responsible for millions of malaria deaths?" [more inside]
The Stupidity of Dignity: Conservative bioethics' latest, most dangerous ploy. Steven Pinker reviews Human Dignity and Bioethics, the latest report from the President's Council on Bioethics. [more inside]
Thirty-six years after the National Commission on Marihuana and Drug Abuse recommended that "simple possession" of pot be decriminalised, Rep. Barney Frank (D-Mass.) has introduced a bill, co-sponsored by Rep. Ron Paul (R-Texas), to remove federal criminal penalties for possession of up to 100 grams (about three-and-a-half ounces) of marijuana and the not-for-profit transfer of up to one ounce (28.3 grams). Drug reform advocates
lit up hailed the legislation as "an important step toward bringing federal law into line with scientific fact, practical reality and public opinion." Is America, at long last, having a collective moment of sanity?
The state of Oregon is holding a health insurance lottery where 91,000 hopeful enrollees will be competing for a couple thousand spots under the Oregon Health Plan, the state's Medicaid program. OHP was created to cover those who made too much to enroll in traditional Medicaid but too little to afford market healthcare, and this development comes as a result of budget cuts and a subsequent enrollment closure in July of 2004. It's a far cry from the universal health care coverage that the plan was suppose to lead to, and marks a dramatic turn for the state's once-ambitious health care reforms.
(Previously in dystopic health care developments)
(Previously in dystopic health care developments)
Dr. President: "The next president of the United States of America will control a $150 billion annual research budget, 200,000 scientists, and 38 major research institutions and all their related labs. This president will shape human endeavors in space, bioethics debates, and the energy landscape of the 21st century." With the coming election, the AAAS has created a new website and devoted a section of their journal Science to the Democratic and Republican candidates' positions on science and technology issues. But to help further clarify their positions, some people are calling for the candidates to have a presidential debate on science and technology. [Via The Intersection and Wired Science.]
Richard Paey Speaks - An interview with the paraplegic man sentenced to 25 years in prison for treating his own pain, but now out after a full pardon by the Florida Governor. [more inside]
The poppy is bitterly ironic this Remembrance Day. Borrowed from John McRae's classic In Flanders' Fields, the poppy has shifted from a symbolic meaning to the central subject of an ongoing conflict. As international intervention in Afghanistan continues, opium production has reached record-breaking heights, with this single country now producing 90% of the world's total supply (utterly dwarfing global licit supply). Meanwhile, the world suffers a global opiate shortage(pdf), Canada's heroin maintenance project is threatened by politics, and the National Review of Medicine suggests that prescription opiates are far more dangerous than the "usual suspects".
Robin Prosser was a former concert pianist and systems analyst who suffered from an autoimmune disease similar to lupus for over 20 years. The disease left her in constant pain and made her allergic to most pharmaceutical painkillers. Only medical marijuana brought her relief, but last spring the DEA seized her medicine. Unable to cope with the chronic pain any longer, she committed suicide on October 18th. [Via Andrew Sullivan.]
Death by firing squad is imminent (timeline) for a Palestinian doctor and five Bulgarian nurses accused of infecting 426 girls and boys at the al-Fatah Hospital in Benghazi with HIV, after having the sentence lifted a year ago and sent to retrial. Libya stands accused of using the children as diplomatic pawns and torturing confessions out of the health workers. Nature has published a series of articles refuting the dubious evidence provided by Libyan researchers, which many think was concocted to cover up the poor hospital hygiene that likely caused the infections in the first place. [previously]
Newsfilter: The United States Senate may once again be up for grabs. Senator Tim Johnson, D-SD, 60, has reportedly just suffered a stroke and is currently undergoing tests at The George Washington University Medical Center.
[NewsFilter] A partial victory for public health over politics. Amazingly, the FDA has finally, after 3 years of wrangling, approved over-the-counter sale of Plan B, an emergency contraceptive pill. The victory is partial because you need to be 18 or older to purchase it without a doctor's note. If you're under 18, you need to still have documentation from your physician (or nurse practitioner). The politics behind the approval process were laid bare in this (sincerely) fascinating GAO report [note: links to .pdf file]. I also hope that OTC approval will avoid this.
Plan B previously discussed on MeFi here.
Plan B previously discussed on MeFi here.
what you need right now isn't the righteous anger the rest of the blogosphere will give you. You need more.
For the women of South Dakota: an abortion manual --building on the history and expertise of Jane, , an underground referral and abortion-providing group in Chicago in the 60s, Molly provides the vital info women in South Dakota (and maybe elsewhere soon) need.
Tanzania 9th most corrupt country, of course the word here is that they bribed transparency international to place them above kenya....... according to the director "HIV AIDS is killing millions of Africans, and in many of the countries where AIDS is at its deadliest the problem is compounded by the fact that corruption levels are seen to be very high. While it is imperative that richer countries provide the fruits of medical research at an affordable price to address this human tragedy, it is also essential that corrupt governments do not steal from their own people. This is now an urgent priority if lives are to be saved." local traditions don't help either. what this story does not say is that 4,000 girls will be circumsised at this ceremony and the govt/police won't interfere.