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For the third time in nine years, the Affordable Care Act has survived a constitutional challenge at the Supreme Court. In a 7-2 decision, the court ruled that the states and individuals who filed the latest challenge lacked standing to sue.

Meanwhile, Democratic lawmakers are looking for ways to expand health benefits as they pull together spending plans on Capitol Hill. And criticism is growing of the Food and Drug Administration, which approved a controversial drug to treat Alzheimer’s disease over the recommendation of its own expert outside advisers.

This week’s panelists are Julie Rovner of KHN, Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Rachel Cohrs of Stat.

Among the takeaways from this week’s episode:

• The ACA

La Corte Suprema se negó por tercera vez a revocar la Ley de Cuidado de Salud a Bajo Precio (ACA) el jueves 17 de junio, desestimando una demanda presentada por un grupo de fiscales generales estatales republicanos que alegaban que un cambio realizado por el Congreso en 2017 había vuelto inconstitucional a toda la ley.

Por 7 a 2 votos, los jueces ni siquiera llegaron a los méritos del caso, resolviendo que los estados e individuos demandantes, dos personas de Texas cuentapropistas, carecían de “argumentos” para llevar el caso a los tribunales.

“No procederemos más allá”, escribió el juez Stephen Breyer. “Ni los individuos ni los demandantes estatales han demostrado que el daño que sufrirán o hayan sufrido sea ‘razonablemente atribuible’ a la ‘conducta supuestamente ilegal’ de la que se quejan”.

Los dos jueces disidentes, Samuel Alito y Neil Gorsuch, no estuvieron de acuerdo. “Los estados han demostrado claramente que … Read the rest

Dr. Leora Horwitz treats fewer and fewer covid patients at NYU Langone Medical Center in New York City. Still, she thinks there are too many.

And they almost all have something in common.

“I’ve only had one patient who was vaccinated, and he was being treated for cancer with chemotherapy,” she said, reflecting recent research on the vaccines’ limited effectiveness for cancer patients. “Everyone else hasn’t been vaccinated.”

While taking care of those seriously ill with covid, she asks patients, with sympathy and respect: Why not get vaccinated? A few of them told the internist and hospital researcher that they’re concerned about vaccine safety. But mainly, she said, the responses break down into two groups: One comprises people who have been planning to get vaccinated but didn’t get around to it yet. The second highlights a disturbing deficiency in the pandemic response: those eager to get vaccinated but unable to … Read the rest

For more than a year, public health officials have repeatedly told us that masks save lives. They’ve warned us to keep our distance from our neighbors, who’ve morphed into disease vectors before our eyes.

Now they are telling us that if we’re vaccinated, we no longer need to wear masks or physically distance ourselves in most cases — even indoors. To many people, myself included, this seems hard to reconcile with so many long months of masking and physical distancing and sacrificing our social lives for fear of covid-19.

What is an anxious, pandemic-weary (and wary) soul to do?

First, it’s important to stress that the dramatic rollback of mask-wearing and physical distancing recommended last month by the Centers for Disease Control and Prevention — a policy California has adopted starting Tuesday as part of a broader reopening — applies only to people who have been fully vaccinated.

Even if … Read the rest

Cuando Kiki Radermacher, terapeuta de salud mental, llegó a una casa de Missoula, Montana, por una llamada de emergencia al 911 a fines de mayo, el hombre que había pedido ayuda estaba atrincheado en una esquina, gritándole a los policías.

 La casa que estaba alquilando iba a venderse. Había llamado al 911 cuando el miedo de quedarse sin hogar lo hizo tener pensamientos suicidas.

“Le pregunté: ‘¿Quieres sentarte conmigo?’”, recordó Radermacher, miembro del equipo móvil de respuesta a crisis de la ciudad. Luego ayudó al hombre a encontrar un servicio de apoyo. “Realmente queremos empoderar a las personas para encontrar soluciones”.

Missoula comenzó a enviar a este equipo especial en llamadas de emergencia de salud mental en noviembre como un proyecto piloto, y el próximo mes el programa se volverá permanente.

Es una de las seis iniciativas de respuesta móviles a crisis en Montana, que comenzó como una prueba en … Read the rest

It took covid-19 to give millions of Americans the option of telling their doctor about their aches and pains by phone.

But now that more doctors and patients are returning to in-person appointments, policymakers across the country are divided over how much taxpayer money to keep spending on phone appointments. Although they were a lifeline for Medicaid and Medicare patients who don’t have the technology for video visits, critics say they don’t provide the same level of patient care and aren’t worth the same price.

In California, the Democratic-controlled legislature wants the state’s Medicaid program for low-income people — called Medi-Cal — to keep paying for phone calls at the same rate as for video and in-person visits, a policy that began during the pandemic. But Democratic Gov. Gavin Newsom’s budget plan directs Medi-Cal to reduce the rate.

Medi-Cal paid for a whopping 2.4 million phone appointments from March 1, … Read the rest

KHN chief Washington correspondent Julie Rovner discussed the FDA’s approval of a new drug for Alzheimer’s disease on WAMU’s “1A” on Wednesday.

• Click here to hear Rovner on WAMU

KHN correspondent Aneri Pattani discussed the increase in alcohol use and misuse by young women on NPR’s “All Things Considered” on Wednesday.

• Click here to hear Pattani on NPR
• Read Pattani’s “Women Now Drink as Much as Men — And Are Prone to Sickness Sooner“

KHN freelancer Harris Meyer discussed the FDA’s approval of a new drug for Alzheimer’s disease on Newsy on Tuesday and WCPN’s “The Sound of Ideas” on Wednesday.

• Click here to watch Meyer on Newsy
• Click here to hear Meyer on WCPN
• Read Meyer’s “FDA Weighs Approval of a Lucrative Alzheimer’s Drug, but Benefits Are Iffy“

KHN social media manager Chaseedaw Giles discussed opioid use and hip-hop music on NBC Lx’s “First Look” on Tuesday.

• Click here

Promise: “Double the number of drive-through testing sites, invest in next-generation testing, including at home tests and instant tests, so we can scale up our testing capacity by orders of magnitude.”

Before vaccinations were widely available, covid-19 tests were considered one of the few tools to help control the spread of the coronavirus.

That’s why then-candidate Joe Biden promised during the 2020 presidential campaign to boost the United States’ testing capacity as one way he would “beat covid-19.”

Specifically, Biden’s campaign website promised that, if elected, he would “double the number of drive-through testing sites” and “invest in next-generation testing, including at-home tests and instant tests, so we can scale up our testing capacity by orders of magnitude.”

KHN has teamed up with our partners at PolitiFact to analyze Biden’s promises during the 2020 presidential campaign. Now that Biden has been president almost five months, we checked how he has … Read the rest

Can’t see the audio player? Click here to listen on SoundCloud. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you listen to podcasts.

The Food and Drug Administration found itself in the hot seat this week when it approved a controversial new drug to treat Alzheimer’s disease with scant evidence of its effectiveness.

Meanwhile, as health policy watchers wait for the Supreme Court to rule in a case threatening the Affordable Care Act, the Biden administration is reporting that a record 31 million Americans have health insurance as a direct result of the health law. And President Joe Biden seeks to gain goodwill overseas as he announces the U.S. will provide 500 million doses of covid vaccine to aid international health efforts.

This week’s panelists are Julie Rovner of KHN, Margot Sanger-Katz of The New York Times, Joanne Kenen of Politico and Sarah Karlin-Smith of … Read the rest

Victoria Cooper pensaba que su consumo de alcohol en la universidad era como los de los demás. Shots en las fiestas, cervezas mientras jugaba al bowling. Tomaba más que otros y las resacas le hacían perder clases, pero así y todo pensaba que no tenía ningún problema.

“Según la imagen que tenía del alcoholismo —viejos embriagándose en un estacionamiento— yo pensaba que estaba bien”, dijo Cooper, que ahora está sobria y vive en Chapel Hill, Carolina del Norte.

Esa imagen de quiénes son los que sufren de alcoholismo, transmitida por la cultura pop, era engañosa hace más de una década, cuando Cooper estaba en la universidad. Y es aún menos representativa hoy en día.

Desde hace casi un siglo, las mujeres han ido cerrando la brecha de género en el consumo de alcohol, las borracheras y los trastornos que acarrea. Lo que antes era una proporción de 3 a 1, … Read the rest