Tag: health

Florida GOP senators defend DeSantis’ surgeon general amid measles outbreak

Posted on by Lone Candle

“The measles outbreak in Florida shows the further polarization of vaccines, one area that once had overwhelming consensus across political parties and throughout the U.S. The measles vaccine is especially effective in protecting against the virus and, according to the CDC, has led to a 99 percent decrease in the virus compared to the pre-vaccine era.”

https://www.politico.com/news/2024/03/04/florida-measles-ladapo-desantis-00144561

Living in an abortion ban state is bad for mental health

Posted on by Lone Candle

“The false idea that getting an abortion makes women irreparably depressed and anxious, that it causes a deep psychic wound, has for decades been used by anti-abortion activists to support abortion restrictions.
But the argument is entirely based on anecdotes, personal beliefs, and vibes. No good science has demonstrated this link.

That’s not because nobody’s tried to answer the question of what the mental health impacts of abortion are on the women who obtain them. It’s because the answer to that question, over and over again, is: none. In study after study, researchers have consistently shown that getting an abortion does not cause mental health problems.

What does reliably worsen women’s mental health, however, is banning or restricting abortion access.

A wealth of research has shown that when people are forced to carry unwanted pregnancies, it negatively impacts their physical health and finances — and mental health. In a survey conducted before the US Supreme Court overturned the constitutional right to abortion, women living in states with more abortion restrictions had higher rates of mental distress. In another study, states enforcing abortion restrictions between 1974 and 2016 had higher suicide rates in women of childbearing age in particular.

But when the court decided to overturn Roe v. Wade in 2022, it wasn’t making a decision grounded in science.

Now we’re more than a year and a half into living with the consequences. And when it comes to women’s mental health, the fallout is following the exact pattern scientists predicted.”

…

“Using data gathered as part of US Census Household Pulse surveys, the researchers looked at respondents’ self-reported anxiety and depression scores from about six months before and six months after the Court overturned the constitutional right to abortion. They compared scores on a scale of zero to 12 among people in states with and without trigger bans, abortion restrictions that went into effect as soon as the Supreme Court issued its ruling.

What they found was, frankly, predictable: Before the Court’s decision, anxiety and depression scores were already higher in trigger states — a population-wide average of 3.5 compared with 3.3 in non-trigger states. After the decision, that difference widened significantly, largely due to changes in the mental health of women 18 to 45, what the authors defined as childbearing age. Among this subgroup, anxiety and depression scores subtly ticked up in those living in trigger states (from 4.62 to 4.76) — and dropped in those living in non-trigger states (from 4.57 to 4.49). There was no similar effect in older women, nor in men.”

https://www.vox.com/24071802/abortion-roe-overturn-trigger-ban-states-mental-health

America is retreating from global health leadership at the worst possible time

Posted on by Lone Candle

“the American government remains the single-most important entity in global health. The US spent nearly $13 billion on global health programs in its 2023 fiscal year. It provides one-third of the funding to and has a permanent seat on the board of the Global Fund to Fight AIDS, Tuberculosis and Malaria, an organization also started during the George W. Bush administration, which supports prevention and treatment for some of the world’s most deadly diseases in 130 countries.
The US iso the single largest contributor to the World Bank’s newly established Pandemic Fund. And along with the United Kingdom and the Bill and Melinda Gates Foundation, the United States underwrites much of the budget for Gavi, the Vaccine Alliance, which largely supports vaccine programs in developing countries and has contributed to the vaccination of nearly 1 billion children since its founding in 2000.

But the failure to reauthorize PEPFAR signals growing ambivalence among some US political leaders about funding health programs around the world. The internationalist “compassionate conservatives” of yesteryear, perhaps best embodied in George W. Bush’s presidency, have been pushed out of the Republican Party, replaced by Trump acolytes less interested in public health domestically or abroad. Donald Trump’s “America First” nationalism and the ferocious conservative backlash against public health authorities during Covid have unmoored a field that long viewed itself as above politics.”

https://www.vox.com/future-perfect/2024/1/15/24036314/us-global-public-health-infectious-disease-covid-19-hiv-aids-pepfar

Guns, Germs, and Drugs Are Largely Responsible for the Decline in U.S. Life Expectancy

Posted on by Lone Candle

“So why did U.S. life expectancy trends slow and then peak in 2014? And what, if anything, can policy makers and politicians realistically do to make increasing it a priority? As noted above, the big recent dip largely resulted from the COVID-19 pandemic. A 2023 Scientific Reports article “estimated that US life expectancy at birth dropped by 3.08 years due to the million COVID-19 deaths” between February 2020 and May 2022. But let’s set aside that steep post-2020 downtick in life expectancy resulting from nearly 1.2 million Americans dying of COVID-19 infections.

A 2020 study in Health Affairs chiefly attributed the 3.3-year increase in U.S. life expectancy between 1990 and 2015 to public health, better pharmaceuticals, and improvements in medical care. By public health, the authors meant such things as campaigns to reduce smoking, increase cancer screenings and seat belt usage, improve auto and traffic safety, and increase awareness of the danger of stomach sleep for infants. With respect to pharmaceuticals, they cited the significant reduction in cardiovascular diseases that resulted from the introduction of effective drugs to lower cholesterol and blood pressure.

So a big part of what propelled increases in U.S. life expectancy is the fact that the percentage of Americans who smoke has fallen from 43 percent in the 1970s to 16 percent now. Smoking is associated with higher risks of cardiovascular diseases and cancers, rates of which have been dropping for decades. In addition, the rising percentage of Americans who are college graduates correlated with increasing life expectancy.

However, since the 2004 peak, countervailing increases in the death rates from drug overdoses, firearms, traffic accidents, and diseases associated with obesity contributed to the flattening of U.S. life expectancy trends.

A 2021 comprehensive analysis of the recent stagnation and decline in U.S. life expectancy in the Annual Review of Public Health (ARPH) largely concurs, finding that “the proximate causes of the decline are increases in opioid overdose deaths, suicide, homicide, and Alzheimer’s disease.” Interestingly, the U.S. trend in Alzheimer’s disease prevalence has been downward since 2011. In addition, the ARPH review noted that “a slowdown in the long-term decline in mortality from cardiovascular diseases has also prevented life expectancy from improving further.” So enabling and persuading more properly diagnosed Americans to take blood pressure and cholesterol-lowering medications would likely boost overall life expectancy.”

https://reason.com/2024/01/08/guns-germs-and-drugs-are-largely-responsible-for-the-decline-in-u-s-life-expectancy/

US life expectancy no longer catastrophic, now merely bad

Posted on by Lone Candle

“The CDC estimates 375,000 Americans died due to Covid-19 infection in 2020, and about 460,000 in 2021 — an almost incomprehensible loss of human potential.
In 2022, there were fewer Covid-19 deaths, but still a lot: 244,000.”

…

“In 1980, US life expectancy was among the highest in the developed world; now, it’s one of the lowest. There are many possible reasons for this: Compared with other countries, the US’s health care system is one of the most difficult to afford and navigate, and invests less in preventive care than in high-tech treatment. The nation wildly underfunds public health, has a high prevalence of processed foods, and promotes overwork and underrest. And access to guns and opioids has made high rates of death due to both a uniquely American problem.

The prevalence of many chronic health conditions — along with smoking cigarettes, another important contributor to premature death and Covid-19 mortality — can be changed by policy choices.

“Improving the public health system, rebalancing the health care system more toward prevention, thinking about the social drivers of health more intensely, addressing major social challenges that sometimes are right in front of our eyes and associated with a lot of death,” said Sharfstein, “all of those things are going to be necessary” to improve Americans’ overall health.”

https://www.vox.com/health/2023/11/29/23981047/us-life-expectancy-number-76-77-years-bad-why-covid-cdc

Congenital syphilis jumped tenfold over the last decade

Posted on by Lone Candle

“The Centers for Disease Control and Prevention is calling for “urgent action” to address a tenfold rise over the last decade in cases of congenital syphilis — when the life-threatening infection is passed to an infant during birth. The agency found that the vast majority of the cases, nearly 90 percent, could have been prevented with better access to testing and treatment, a warning sign that vulnerable people are falling through the cracks of the American medical system.”

…

“Syphilis is treatable with antibiotics, but if left untreated in pregnant people, the STD can cause stillbirth, miscarriage and infant death. Infants who don’t receive treatment could also develop blindness, deafness, developmental delays or skeletal abnormalities. In 2022, the infection caused 231 stillbirths and 51 infant deaths.
“It’s particularly difficult to get your head around the increases when we know that this is preventable,” Bachmann said. “If a pregnant person is screened and treated in a timely manner, we really should not have any syphilis in babies.””

https://www.politico.com/news/2023/11/07/congenital-syphilis-spike-cdc-00125791

It’s getting increasingly dangerous to be a newborn in the US

Posted on by Lone Candle

“in 2022, the death rate for American infants increased for the first time in 20 years.”

…

“rates of congenital syphilis — that is, syphilis infections acquired in the womb — have risen tenfold over the past decade.
Although a lot of different risk factors drive each of these trends, there’s an important one they have in common: bad — and worsening — health care access for mothers and babies.

In the US, the obstacles mothers face in accessing health care are too often insurmountable — and as this latest data shows, the consequences to American children are dire. Things might only get worse, some experts fear, as financial, political, and social pressures drive providers further from many of the places where they’re needed most.

“We only are hearing about more [obstetricians] leaving and more maternity wards closing,” said Tracey Wilkinson, a pediatrician who specializes in reproductive health issues at Indiana University’s medical school. “I am terrified about what the data is going to look like next year.””

https://www.vox.com/23952456/syphilis-mortality-death-infant-newborn-congenital-babies-prenatal-maternity-pregnancy-desert

Fixing open enrollment starts with staying mad about it

Posted on by Lone Candle

“Almost four in 10 Americans — 38 percent — said that in 2022 they had put off medical care because of the cost, per Gallup. That is the highest number ever recorded since the polling firm started asking the question in 2001. Another survey, from KFF over the summer, found 28 percent had difficulty affording prescription drugs.
The truth is that insurance alone isn’t always enough to help people afford health care. The Commonwealth Fund concluded that 43 percent of Americans had been “inadequately insured” in 2022. That meant either they had been uninsured, had a gap in coverage during the year, or the insurance they had would not be adequate if they had an expensive medical emergency or diagnosis — for example, if their plan’s out-of-pocket costs could exceed 10 percent of their household income.

More than 40 percent of people said they had skipped care due to its cost, or they had trouble paying off medical bills, medical debt, or both.

It does not have to be this way. There is not one specific prescription for fixing health care. Countries have found various ways to make health insurance more affordable, standardized, and universal”

https://www.vox.com/policy/2023/10/16/23894085/health-insurance-open-enrollment-medical-dental-medicare-obamacare