When appearing in media, physicians carry special responsibility

Taking an active role in the mass media is one way that physicians can use their knowledge and expertise to help improve the nation’s health, but the roles of doctor and media personality sometimes come into conflict. The AMA House of Delegates has adopted new ethical guidance for physicians appearing in the media.

“Physicians have well-recognized responsibilities to use their knowledge and skills for the benefit of the community as a whole,” says the AMA Council on Ethical and Judicial Affairs report adopted at the 2017 AMA Interim Meeting in Honolulu, and “stepping into the media environment can serve as an extension of this public function.”

My lede. The whole shebang.

Opioids emergency declaration must be followed with smart action

President Donald Trump today directed the Department of Health and Human Services to declare the opioid epidemic a public health emergency. With the move, aimed at tackling the epidemic tied to hundreds of daily overdose deaths across the nation, the president also ordered other federal agency and department leaders to use any appropriate emergency authority they have to address the problem.

The president specifically announced a plan “to overcome a restrictive 1970s-era rule that prevents states from providing care at certain treatment facilities with more than 16 beds for those suffering from drug addiction.” He said several states had sought relief from this and other requirements and promised that “approvals to unlock treatment for people in need” would “come very fast, not like in the past.”

My lede. The whole shebang.

Individual market-stabilization bill earns physician support

A compromise, bipartisan Senate proposal that would extend cost-sharing reduction payments through 2019 and implement other changes aimed at stabilizing the individual health insurance marketplace under the Affordable Care Act should be passed by Congress.

That was the message put forth today by the AMA, which has long urged legislators to take action to address the instability that could be caused by the lack of funding for the CSR payments, which help reduce the out-of-pocket costs borne by low-income Americans.

My latest at AMA Wire. Read the whole shebang.

“Dreamers” bolster physician workforce, should be allowed to stay

To help alleviate the physician shortage and improve access to care, Congress should move quickly to enact legislation that would allow those granted Deferred Action for Childhood Arrivals status—often dubbed “dreamers”—to live and work legally in the U.S. An estimated 5,400 previously ineligible physicians could be introduced into the U.S. health system over the coming decades through a DACA-like legislative fix.

My latest at AMA Wire. Read the whole shebang.

Bridge

Sunlight shimmering on the river water
Leaves me squinty-eyed on a Chicago summer day
The only kind worth a damn in this dreary town
The ladies in their floral dresses
And the men in their short sleeves
Walk briskly toward their midday destinations
While the tourists carefully trace their steps
Speaking in foreign tongues and consulting
Their pocket computers

I take a spot near the Wabash Avenue Bridge
To sip my coffee and let the sun hug my skin
What a lovely day to feel so bereft
An architectural tour boat wades into view
And the guide tells about the building
Where I work, and I wonder whether to wave
It seems like the neighborly thing to be
One more welcoming sight, another
Connection across the skyline

“Yes, I see you down there,” I think, and thrust out my arm
To offer the gentlest, friendliest wave I can conjure
The nonchalant sort that doesn’t beg for notice
Or require any response
But up there go one, two, three hands
Threading the summer wind with their fingers
“Hello,” the hands say as the boat parts the waters
And their owners’ faces become the backs of heads
Yes, they saw me standing up here
With my back to the glass and steel

Genome editing and the AMA “Code of Medical Ethics”

An international team of researchers recently published, in the journal Nature, their study using genome editing to correct a heterozygous mutation in human preimplantation embryos using a technique called CRISPR-Cas9. This bench research, while far from bedside use, raises questions about the medical ethics of what could be considered “genetic engineering.” The AMA “Code of Medical Ethics” has guidance for physicians conducting research in this area.

My latest at AMA Wire. Read the whole shebang.

Senate should reject ACA repeal, replace bills

Ahead of a planned vote in the Senate on Tuesday, AMA Executive Vice President and CEO James L. Madara, MD, made it clear that neither of the bills senators may consider contain the necessary elements to earn the support of America’s physicians.

“We urge the Senate to reject efforts to repeal or replace the Affordable Care Act,” Dr. Madara wrote in a letter to Senate leaders, asking that they “work instead toward improvements that will increase access to affordable, quality health care coverage for all Americans.” He noted further that “recent revisions do not correct core elements that will lead to millions of Americans losing health insurance coverage with a resulting decline in both health status and outcomes.”

My latest at AMA Wire. Read the whole shebang.

Jeff Bezos’ charitable drive and the “Code of Medical Ethics”

When billionaire Jeff Bezos—the founder of Amazon.com Inc.—recently posted to Twitter seeking suggestions on how to make the best charitable use of his vast holdings, he was met with a wealth of responses almost as impressive as his estimated $80 billion fortune. Nearly 50,000 responses have poured in so far.

For physicians seeking to do good through charity, the AMA “Code of Medical Ethics” has guidance for them to keep in mind when soliciting contributions from their patients.

My latest at AMA Wire. Read the whole shebang.

9 battleground states show health reform’s high stakes

Lora Wilkerson does not have to look far to see the potential effect of the Senate’s ongoing efforts to overhaul the nation’s health system. The Charleston, West Virginia, woman needs only peer into the bright eyes of her 3-year-old granddaughter, Ellie.

The girl was diagnosed at 18 months old with rhabdomyosarcoma, a rare cancer that mostly affects children. Wilkerson said Ellie is still alive because of the Medicaid coverage and patient protections available under the current health care law, provisions that the latest version of the Senate’s Better Care Reconciliation Act of 2017 (BCRA) would overturn.

“Ellie would have died,” Wilkerson said at a press event held Thursday in Charleston, West Virginia. “Ellie survives, but continues to have nerve damage in her hands and feet.” The girl receives physical, occupational and speech therapy on a weekly basis.

Little Ellie is just one of more than 180,000 West Virginians now covered by Medicaid expansion under the Affordable Care Act (ACA). Their coverage is threatened by the BCRA provision that would phase out the enhanced rate at which the federal government funds Medicaid expansion between 2021 and 2023. Expanded Medicaid makes coverage available to people who earn too much to qualify for the traditional Medicaid program but earn less than 138 percent of the federal poverty line (that is $28,180 for a family of three in West Virginia).

My latest at AMA Wire. Read the whole shebang.

Revised Senate bill fails to address core AMA concerns

A revised draft of the Senate’s Better Care Reconciliation Act of 2017 (BCRA) was released Thursday, and new spending and coverage estimates from the Congressional Budget Office are expected to be released Monday.

In a statement, AMA President David O. Barbe, MD, MHA, said “the revised bill does not address the key concerns of physicians and patients regarding proposed Medicaid cuts and inadequate subsidies that will result in millions of Americans losing health insurance coverage.” Added funding to address the opioid epidemic “is a positive step,” he said, but “those suffering from substance-use disorder have other health care needs that are not likely to be addressed if they lose coverage through a rollback of the Medicaid expansion.”

My latest at AMA Wire. Read the whole shebang.