Literally Sick (and Tired) of Daylight Saving Time

Healthcare was at the top of many voters’ minds in last week’s election, with a range of health-related issues appearing on ballots across the country. Among other health-related measures, three states voted to expand Medicaid, Massachusetts rejected a ballot measure that would limit nurse-to-patient ratios, and Nevada exempted menstrual products from the state sales tax. But a California measure to end daylight saving—less clearly health-related on its face—could also have some important implications for health.

Proposition 7 asked California voters whether they supported allowing the State Legislature to establish permanent, year-round daylight saving time (DST). It received about 60 percent of the votes. Following the vote, in order for California to actually end the tradition of turning clocks back in the fall and forward in the spring, the State Legislature would first have to approve this decision by a two-thirds majority. It would then need to be approved by Congress.

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The NRA versus Medical Professionals: Only One is Interested in Saving Lives

Advocating for patients is in a physician’s job description. Sometimes we forget that, and need a reminder. The National Rifle Association, a little itchy with its Twitter finger, needed a reminder.

Gun-related injuries and death are a clear public health problem, inspiring a set of guidelines by the American College of Physicians published recently in Annals of Internal Medicine.

To which @NRA had this to say: “Someone should tell self-important anti-gun doctors to stay in their lane.” Read More

Out of Touch NRA tells Front-line Healthcare Providers to “Stay In Their Lane” on Gun Control

An unnamed columnist writing for the National Rifle Association Institute for Legislative Action blog advised physicians and other healthcare providers to “stay in their lane” when it comes to advocating for gun control.

This appears to have been sparked by the position paper published in the October, 2018 Annals of Internal Medicine authored by the Health and Public Policy Committee of the American College of Physicians. The author of the blog post argues that the paper and subsequent position statement is flawed, claiming that there is “not enough evidence” to suggest that stricter gun laws would have any effect of the rates of gun violence in the United States.

The conclusion is that medical providers should keep to doing what they do best (practicing medicine) and leave the discussion of gun control to the “experts”, by which the author apparently means gun owners and the NRA.

This article would have likely been just another throw-away piece had it not caught the attention of thousands of medical providers on Twitter. Retweets carrying the hashtag #ThisIsMyLane went viral, relaying stories of gun-shot victims that physicians, nurses, EMS providers and others have had to treat. Some were accompanied by pictures of blood-stained trauma bays or operating room suites.

It seems like an odd move to criticize the very people who have to deal with the carnage of gun violence, and given the response, the NRA picked the wrong people to bully. There were more than 16,000 comments within just a few hours, mostly from healthcare providers denouncing the article and the accompanying tweet.

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Anya Prince on Gene Therapy and Exacerbating Health Care Inequalities

Anya Prince, a legal scholar and thought leader in the field of genetic discrimination, will present a new paper at Monday’s Health Law Workshop that interrogates whether gene therapies will exacerbate inequalities in health care, as more treatments enter the market. “Gene Therapy’s Field of Dreams: If You Build It, Will We Pay?” focuses on some of the many issues raised by the prices of gene therapies.
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Toxic Breastmilk: When Substance Abuse Relapse Means Death for Baby

Recently, a nursing mother in Pennsylvania made national headlines when her infant died from ingesting a combination of fatal drugs through breastmilk.  According to the coroner’s report, the infant died from a combination of methadone, methamphetamine, and amphetamine toxicity. The Bucks County District Attorney charged the mother, Samantha Jones, who also has a two-year old child, with criminal homicide. According to published reports, Jones was undergoing Medication Assisted Treatment (MAT) and receiving doses of methadone to treat her addiction to opioid painkillers.

Multiple commentators swiftly voiced opposition to the District Attorney, decrying the criminal charges against Jones, arguing it is “highly problematic” to levy criminal charges against a person undergoing treatment for Substance Use Disorder.

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Can Computer Simulations Enhance Vaccine Trials?

Infectious disease emergencies are opportunities to test the efficacy of newly developed interventions—for example, drugs, vaccines, and treatment regimens. Yet they raise many intertwined challenges around politics, logistics, ethics, and study design.

It is essential to advance the discussion of how such products can and should be tested while remaining consistent with the efforts of CEPI, WHO, and others who encourage development and testing of candidate vaccines in advance of emergencies. Read More

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Wendy Mariner on ‘The Week in Health Law’ Podcast

Midterm Takeaways Director’s Cut: I am joined by Professor Wendy Mariner, Professor of Health Law at Boston University School of Public Health and Professor of Law at Boston University School of Law. It was three days after the midterm elections and we thought it would be a good idea to reflect on some of the health law and policy stories. Here’s the complete list.

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Prosecuting Healthcare Fraud: The Need for Statutory Guidance on Costs and Benefits

The Trump Administration launched the largest healthcare fraud takedown in history in June, charging over 600 individuals responsible for over $2 billion in fraud losses. This takedown, along with the previous summer’s (which had previously been the largest when it happened) has allayed concerns that the Justice Department would ease off healthcare fraud prosecutions as a form of white-collar, rather than violent, crime.

Indeed, former Attorney General Sessions committed to aggressive prosecution of healthcare fraud as part of the Administration’s response to the opioid epidemic. One change does seem clear, however: the Administration is prioritizing the prosecution of individuals, and scaling back on the prosecution of corporations. Read More