healthcare
kkrisberg | July 17, 2015Every day in the U.S., more than 40 people die after overdosing on prescription painkillers. Deaths from a more notorious form of opiates — heroin — increased five-fold between 2001 and 2013. Addressing this problem — one that’s often described as a public health crisis — requires action on many fronts, from preventing abuse in the first place to getting those addicted into treatment. But when it comes to overdoses, there’s one answer we know works: naloxone.
Naloxone is a safe prescription medicine that’s highly effective in reversing an otherwise deadly opioid overdose. Typically, emergency…
kkrisberg | July 10, 2015Thanks to the Affordable Care Act, American women are saving hundreds of dollars on birth control, according to the first study to document the impact of health reform on prescription contraception spending.
To conduct the study, which was published this month in Health Affairs, researchers analyzed claims data from a large national insurer between January 2008 and June 2013, eventually examining data linked to more than 790,800 women. They found that the average out-of-pocket expense decreased for nearly all prescription contraceptive methods on the market. In particular, the average out-of-…
kkrisberg | July 8, 2015A key argument in the movement to expand sick leave to all workers is that such policies help curb the spread of contagious diseases. And there are few workplaces where that concept is more important than in health care settings, where common diseases can be especially dangerous for patients with compromised immune systems. However, a new study finds that despite such risks, doctors and nurses still feel pressured to report to work while sick.
Published earlier this week in JAMA Pediatrics, the study is based on anonymous surveys conducted in a large children’s hospital in Philadelphia and…
kkrisberg | June 30, 2015This week, the Center for Public Integrity launched a new investigative series into the failure of regulators to protect workers for toxic exposures. The series begins with the story of a bricklayer who developed acute silicosis after exposure to silica, a deadly substance that threatens more than 2 million workers and that OSHA has been struggling to regulate for 40 years. The bricklayer, Chris Johnson, is just 40 years old and can expect to survive less than five years. Reporters Jim Morris, Jamie Smith Hopkins and Maryam Jameel write:
An 18-month investigation by the Center for Public…
kkrisberg | June 26, 2015A common hurdle in the field of occupational health and safety is delivering what can sometimes be life-saving information to the people who need it most. After all, not all employers are amenable to workplace health and safety education. But what if safety advocates could find and connect with the most at-risk workers out in the community? Perhaps even reach vulnerable workers with safety education before they experience an injury at work?
New research from the University of Illinois-Chicago School of Public Health could help safety advocates do just that. Linda Forst, director of the school…
lborkowski | June 24, 2015Innovation in healthcare doesn't just mean new drugs and devices; sometimes, studying and updating procedures can result in big improvements for patients' health. In the New York Times, Gina Kolata reports on procedure changes hospitals have made to improve care for heart-attack patients:
With no new medical discoveries, no new technologies, no payment incentives — and little public notice — hospitals in recent years have slashed the time it takes to clear a blockage in a patient’s arteries and get blood flowing again to the heart.
The changes have been driven by a detailed analysis of the…
sgorman | June 22, 2015It seems simple enough – a proliferation of donors in global health means more money to solve some of the world’s most pressing health issues. Right? Not exactly. A lot of new evidence is coming out that suggests that the lack of coordination of different funding sources can be a burden and perhaps a detriment to global health. And the way that traditional funders think about the locus of health spending in countries to which they donate may not even be entirely accurate. As a recent report from the Center for Global Development In fact, as the report finds, most funding for health is…
kkrisberg | June 12, 2015The science on the health effects of fracking is still very much emerging. Oftentimes, the growing body of research can’t make a conclusive link between the drilling technique and negative health impacts, but it certainly makes the case that more research is needed. Earlier this month, another study joined the pack.
Published June 3 in the journal PLOS ONE, the study found that women who lived closer to a high density of fracking activity were more likely to have babies with lower birth weights than women living farther away from such drilling activity. The study is the first of its kind to…
kkrisberg | June 10, 2015“All response is local” is a commonly heard phrase among public health practitioners who serve on the front lines of disease outbreaks, emergencies and disasters.
Whether it’s a measles outbreak, a terrorist attack or a hurricane, public health agencies are at the ready to deploy an emergency response infrastructure designed for one overriding purpose: to protect their communities against preventable disease and injury. That kind of preparedness takes an enormous amount of planning, training, practice and collaboration. It also requires sustained funding support — something that’s all too…
kkrisberg | May 29, 2015Another day, another study that finds poverty is linked to adverse and often preventable health outcomes. This time, it’s vision loss.
Last week, the Centers for Disease Control and Prevention published new data finding that poverty is significantly correlated with severe vision loss, which is defined as being blind or having serious difficulties seeing even with glasses. In examining data from the American Community Survey, researchers found that among counties in the top quartile for severe vision loss, more than 55 percent were also in the top quartile for poverty. The South is home to…
kkrisberg | May 27, 2015For more than a decade, biologist Mariam Barlow has been working on the theory that administering antibiotics on a rotating basis could be a solution to antibiotic resistance. After years of research, Barlow had lots of data, but she needed a more precise way to make sense of it all — something that was so specific it could easily be used to treat patients. So, she joined forces with a team of mathematicians. And the amazing results could help solve an enormous, worldwide problem.
In a nutshell, the team of biologists and mathematicians developed a software program that generates a road map…
kkrisberg | May 19, 2015An injured worker who was featured in the ProPublica/NPR investigation on the dismantling of the workers’ compensation system recently testified before lawmakers in Illinois, cautioning them against making the same drastic workers’ comp cuts as his home state of Oklahoma. Michael Grabell, who co-authored the original investigation, writes that John Coffell, who lost his home after hurting his back at an Oklahoma tire plant, was part of an eight-hour hearing on workers’ comp before the entire Illinois state assembly. Grabell writes in ProPublica:
Coffell told the legislators that after…
kkrisberg | May 13, 2015In a perfect example of how the Affordable Care Act is broadening access to relatively low-cost and potentially life-saving interventions, a new study finds that the health reform law likely led more than 1 million young women to seek out the human papillomavirus vaccine and protect themselves against cervical cancer.
In a study published this month in Health Affairs, researchers studied the impact of two ACA provisions: one requiring insurance providers to extend dependent coverage through age 26 and another that required insurers to offer a range of preventive services, such as…
kkrisberg | May 12, 2015More than $30 million in Arkansas, $25.8 million in Kentucky, $105.5 million in Washington and $180 million in Michigan. That’s how much money just four states during just one fiscal year saved under their newly expanded Medicaid programs.
A recent report from the Center on Budget and Policy Priorities (CBPP) summarizes the benefits of Medicaid expansions on uninsurance rates, state health care spending and uncompensated care, finding that “contrary to critics’ claims that Medicaid expansion is financially unsustainable for states, there is increasing evidence that expansion has saved states…
kkrisberg | May 8, 2015Just another example of how cuts to health care funding simply shift the costs and endanger people’s health. This time it’s a study on the impact of eliminating adult dental coverage within the California Medicaid program. Not surprisingly, the cut resulted in a significant and immediate rise in people seeking help in hospital emergency departments.
While federal rules require Medicaid programs to cover children’s dental care, covering adult dental care is up to state policymakers. California lawmakers decided to stop offering dental care to adult Medicaid beneficiaries in 2009, which left…
kkrisberg | May 5, 2015The U.S. Department of Labor is proposing a new rule that would prohibit coal companies from withholding medical evidence from workers with black lung disease who are seeking compensation, reports Chris Hamby at the Center for Public Integrity.
In its proposed rule, the agency cited the case of coal miner Gary Fox as part of its justification. Fox’s story was also featured in the Center for Public Integrity’s Breathless and Burdened series, which investigated how coal companies undermine sick workers’ benefit claims. Hamby, who authored many of the Breathless and Burdened reports, writes that…
lborkowski | May 4, 2015by Anthony Robbins, MD, MPA
When Bernie Sanders announced his candidacy for the Democratic nomination for President, I cheered. For the first time in my life, we would know what a candidate for President really believed and what she or he would do. For me, I am doubly pleased, as I agree with Bernie's ideas.
Bernie began his political career in Vermont in the 1970s just as I was beginning my government career in Vermont. By the time he was elected to the House of Representatives in 1990, I had worked in Washington for both the executive branch (National Institute for Occupational Safety and…
kkrisberg | April 29, 2015The association between financial hardship and medical care isn’t new. Even in wealthy countries such as the U.S., medical bills contribute to a large percentage of personal bankruptcies. Now, a new global study finds that dental care can also contribute to families falling into poverty and being left with fewer financial resources for basic necessities.
In a study published today in the journal PLOS ONE, researchers found that up to 7 percent of households surveyed in 41 low- and middle-income countries had experienced catastrophic dental care expenditures in the last month. To conduct the…
lborkowski | April 20, 2015Last week, President Obama signed long-awaited legislation that will put an end to periodic panic at the prospect of massive, sudden cuts to Medicare physician payments. The bipartisan “doc fix” bill repeals the Sustainable Growth Rate formula that aimed, but failed, to control growth in Medicare physician payments (Medicare Part B).
When it was first adopted in 1997, the SGR probably seemed like a good idea for controlling spending growth. When total Medicare Part B payments exceeded the targeted amounts, the SGR mechanism was supposed to automatically reduce physician payment rates. But…
kkrisberg | April 17, 2015In just a year, electronic cigarette use has tripled among American teens. And considering that no one really knows what the related health impacts are and any regulatory framework is lagging far behind the growing popularity of e-cigarettes, public health advocates say it’s time for action.
Earlier this week, the Centers for Disease Control and Prevention released new data from the 2014 National Youth Tobacco Survey finding that current e-cigarette use among high school students, which is defined as using at least once in the prior 30 days, nearly tripled — from 4.5 percent in 2013 to 13.4…