First Edition: Nov. 9, 2022


Today’s early morning highlights from the major news organizations.


KHN:
People With Long Covid Face Barriers To Government Disability Benefits 


When Josephine Cabrera Taveras was infected with covid-19 in spring 2020, she didn’t anticipate that the virus would knock her out of work for two years and put her family at risk for eviction. Taveras, a mother of two in Brooklyn, New York, said her bout with long covid has meant dealing with debilitating symptoms, ranging from breathing difficulties to arthritis, that have prevented her from returning to her job as a nanny. Unable to work — and without access to Social Security Disability Insurance or other government help — Taveras and her family face a looming pile of bills. (Ladyzhets, 11/9)


KHN:
Ad Goes Too Far With Claim That Joe Biden Promotes Surgery For Trans Teens 


A radio ad targeting care for transgender youth began airing in cities around the country this fall — from Spanish-language stations in Corpus Christi, Texas, to sports talk shows in Tennessee to pop radio in Detroit. The ad, paid for by a political advocacy group founded by Stephen Miller, a longtime speechwriter and senior adviser to former President Donald Trump, were deemed so incendiary by one radio station owner that they were pulled in major markets. The minute-long script from America First Legal, titled “Not Anymore,” accuses President Joe Biden of “pushing radical gender experiments” with hormone therapy. (Farmer, 11/9)


The Hill:
Voters Support Abortion Rights In All Five States With Ballot Measures


Voters in California, Vermont and Michigan on Tuesday approved ballot measures enshrining abortion rights into their state constitutions, while those in traditional red states Montana and Kentucky rejected measures that would have restricted access to reproductive care. The votes signal strength to effort to support abortion rights after the Supreme Court in June ruled to overturn the landmark 1973 case Roe v. Wade and the constitutional right to the procedure. (Dress, 11/9)


NPR:
California Voters Approve Measure To Enshrine Right To Abortion


Proposition 1 was a direct response to the U.S. Supreme Court’s Dobbs v. Jackson Women’s Health Organization ruling. State Democratic leaders introduced the proposition language after a draft of the Dobbs decision leaked last spring. Following the high court’s final decision in June, the Democratically controlled state Senate approved putting it on the ballot. (Fortier, 11/9)


Forbes:
Medicaid Expansion Wins In Red State South Dakota


Voters in Republican-leaning South Dakota Tuesday approved a ballot measure to extend Medicaid benefits to more than 40,000 low-income adults. The vote by a wide margin of South Dakotans to expand Medicaid health insurance for low-income Americans under the Affordable Care Act is a political blow to Republican Gov. Kristi Noem, who opposed the ballot initiative. It’s also a setback for Republicans generally given their past unsuccessful efforts with Donald Trump to try to repeal the health law, also known as Obamacare. The Medicaid expansion measure known in South Dakota as “Constitutional Amendment D” had 56% support compared to 44% opposed with 90% of precincts reporting by early Wednesday morning, state election data showed. (Japsen, 11/9)


Los Angeles Times:
California Votes No On Prop. 29 For Dialysis Clinics Changes


Proposition 29 would have required dialysis clinics to have a doctor, nurse practitioner or physician assistant present while patients are receiving care at any of the state’s 600 dialysis centers. Clinics also would have been required to disclose if a physician had ownership interest in a facility and to report patient infection data. (Evans, 11/8)


AP:
Voters Approve Recreational Marijuana In Maryland, Missouri


Voters approved recreational marijuana in Maryland and Missouri but rejected it in two other states, signaling support gradually growing for legalization even in conservative parts of the country. The results mean that 21 states have now approved marijuana’s recreational use. Arkansas and North Dakota voters rejected legalization proposals in Tuesday’s elections. A similar initiative went before voters in South Dakota, but early Wednesday it was too early to call. (DeMillo, 11/9)


AP:
‘Magic Mushrooms’ Vote Too Early To Call In Colorado 


A vote to decide whether Colorado will become the second state, after Oregon, to create a legalized system for the use of psychedelic mushrooms was too early to call Tuesday. The ballot initiative would decriminalize psychedelic mushrooms for those 21 and older and create state-regulated “healing centers” where participants can experience the drug under the supervision of a licensed “facilitator.” The measure would establish a regulated system for using substances like psilocybin and psilocin, the hallucinogenic chemicals found in some mushrooms. It also would allow private personal use of the drugs. (Peipert, 11/9)


AP:
Oregon Gun Control, Health Care Measures Too Early To Call 


Oregon voters appeared closely divided late Tuesday on measures that would add permitting and training requirements for new gun buyers and amend the state’s constitution to explicitly declare affordable health care a human right. With roughly 40% of the vote counted in the vote-by-mail state, the outcomes of both races were too early to call. (Flaccus, 11/9)


Reuters:
U.S. Supreme Court Weighs Barring Lawsuits Against Public Nursing Homes


The justices heard arguments in an appeal by Health and Hospital Corp of Marion County, an Indiana municipal corporation, of a lower court’s ruling that let the family of Gorgi Talevski, a nursing home resident diagnosed with dementia, pursue a lawsuit claiming his rights were violated while at the facility. (Raymond and Chung, 11/8)


The Washington Post:
Over 1 Million Americans With Diabetes Rationed Insulin In Past Year


In the United States, an estimated 1.3 million adults with diabetes — 16.5 percent of those who have been prescribed insulin to manage their disease — have rationed their use of the medication in the past year, according to a report published last month in the journal Annals of Internal Medicine. The researchers found that some people who ration insulin delay refilling their prescriptions, and others skip doses or take a smaller dose of insulin than needed. Insulin is a hormone, created by the pancreas, that helps the body turn food into energy and also helps control blood sugar levels. (Searing, 11/8)


The Wall Street Journal:
How Does Flu Spread Compared With Covid? What To Know As Flu Cases Surge


Most scientists agree that influenza is transmitted most commonly through the air, but there is disagreement about whether the main vehicle is aerosols or droplets. Some scientists who study aerosol particles say flu mainly transmits through these tiny particles rather than through the larger droplets. That would mean you can get infected just by being in the same room with a contagious person—even far away—rather than having them sneeze on you or emit droplets while talking in proximity to them. (Ready, 11/8)


Los Angeles Times:
COVID-19 Still A Leading Cause Of Death In L.A. County


According to an analysis from the county health department, COVID-19 was the second-leading cause of death in the first six months of 2022, illustrating the outsized impact the pandemic has had on mortality rates despite widespread availability of vaccines and the arguably less-severe Omicron strain. (Lin II, Money and Alpert Reyes, 11/8)


Modern Healthcare:
Medicare Advantage Insurers Ramp Up Marketing Efforts


Health insurance agents set up enrollment booths at community events. In grocery stores, brokers offer prospective members sign-up sheets, often for private Medicare plans that are co-branded with the retailer. Insurers and their partners send letters to people who meet criteria for specialized plans. (Hartnett and Tepper, 11/8)


Healthcare Dive:
Half Of Nurses Consider Leaving The Profession, Survey Finds


Half of nurses have considered leaving the nursing profession, according to recent polls by staffing agency ConnectRN. Staffing shortages were the top reason nurses cited for planning to leave their jobs, followed by needing better work-life balance, the survey out Tuesday said. Nurses also said they planned to leave their roles because their mental health is at risk and they feel a lack of appreciation. (Mensik, 11/8)


Becker’s Hospital Review:
Glasses Chart Nurse Stress Levels At Texas Hospital


Researchers at College Station-based Texas A&M University are monitoring nurses’ eye movements with special glasses. They hope the results will point to causes of stress and burnout, according to a Nov. 8 article on the university’s news site. Farzan Sasangohar, PhD, associate professor of industrial and systems engineering, and his research team had nurses at Houston Methodist Hospital wear the glasses during their 12-hour shifts. They collected data on “gaze behavior” — number of eye fixations, gaze entropy and pupil diameter — as well as heart rate and skin temperature. These metrics help researchers understand the wearer’s mental load at different points in their shift, according to the article. (Kayser, 11/8)


The New York Times:
How Well Do Antidepressants Work And What Are Alternatives?


Over the course of the Covid-19 pandemic, rates of depression and anxiety soared, and many Americans turned to antidepressant medication to help them cope. Even before the emergence of Covid, 1 in 8 American adults was taking an antidepressant drug. According to one estimate, that number rose by 18.6 percent during 2020. Zoloft is now the 12th most commonly prescribed medication in the United States. Given this, you might assume that the question of how — and how well — these drugs work has been clearly answered. And yet recent papers have challenged their efficacy and actions in the brain. Some researchers even say the medications are barely better than a placebo and ask whether they warrant such widespread use. (Smith, 11/8)


The New York Times:
Brain Stimulation Could Limit The Urge To Binge Eat, Study Says 


What if an uncontrollable urge to rapidly eat large amounts of food is rooted in an impaired brain circuit? If that were the case, people who live with binge eating disorder — a psychiatric diagnosis — might be no more at fault for overeating than a patient with Parkinson’s disease is for their tremors. That question led doctors to try a new treatment different from anything ever attempted to help people with this common but underreported eating disorder. At least 3 percent of the population has it, said Dr. Casey Halpern, a neurosurgeon at the University of Pennsylvania. (Kolata, 11/8)


Stat:
Brain Implants That Turn Thoughts To Speech Closer To Reality 


In 2003, Pancho’s life changed forever. That’s when a car crash sent the 20-year-old farm worker into emergency surgery to repair damage to his stomach. The operation went well, but the next day, a blood clot caused by the procedure cut off oxygen to his brain stem, leaving him paralyzed and unable to speak. (Molteni, 11/8)


The New York Times:
Do Concussions Cause CTE? Sports Doctors And Scientists Disagree


For the first time since 2016, one of the most influential groups guiding doctors, trainers and sports leagues on concussions met last month to decide, among other things, if it was time to recognize the causal relationship between repeated head hits and the degenerative brain disease known as C.T.E. Despite mounting evidence and a highly regarded U.S. government agency recently acknowledging the link, the group all but decided it was not. Leaders of the International Consensus Conference on Concussion in Sport, meeting in Amsterdam, signaled that it would continue its long practice of casting doubt on the connection between the ravages of head trauma and sports. (Belson, 11/8)


This is part of the KHN Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.



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