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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