Study links Medicaid expansion to 6 percent reduction in opioid overdose deaths

“Obamacare’s Medicaid expansion, which gave millions of low-income adults access to health insurance, was linked to a 6 percent reduction in opioid overdose death rates — potentially preventing thousands of deaths — according to a new study in JAMA Network Open.

The study looked at what happened in counties in states that expanded Medicaid under the Affordable Care Act by 2017, compared to counties in states that didn’t expand Medicaid, accounting for variables like demographic and policy differences. The Medicaid expansion was made optional in a 2012 Supreme Court ruling, and only 32 states and Washington, DC, had opted to expand by the study period (with the total rising to 37 in the past few years).

The study helps put to rest claims by some Republican lawmakers, particularly Sen. Ron Johnson (WI), that the Medicaid expansion made the opioid crisis worse by expanding access to painkillers. The new study, echoing others before it, suggests the Medicaid expansion had the opposite effect, and that there wasn’t a link between the expansion and more deaths caused by painkillers, with the possible — and relatively uncommon — exception of methadone used in pain treatment.

The researchers found that Medicaid expansion counties had a 6 percent lower rate in opioid overdose deaths than non-expansion counties. That was mostly due to an 11 percent lower rate of deaths involving heroin and a 10 percent lower rate for deaths linked to synthetic opioids excluding methadone”

Texas just became the first state to shut the door on refugees

“Texas became the first state to refuse to take in refugees..under an executive order from President Donald Trump that allows state and local authorities to block refugees from settling in their areas.

Texas Gov. Greg Abbott wrote a letter to the State Department Friday saying that while Texas has historically welcomed more refugees than any other state, it will not resettle any additional refugees in the 2020 fiscal year. “

Trump downplays US troop injuries from Iran’s attack, calling them “not very serious”

“After Tehran fired 16 missiles at two US military sites in Iraq earlier this month, the Trump administration repeatedly said there were no casualties. Trump, during a January 8 address at the White House, reiterated that message by saying “all of our soldiers are safe.”

Then last week, a Pentagon spokesperson admitted 11 military members sustained injuries in the Iran strikes, saying in a statement that the troops were “treated for concussion symptoms from the blast and are still being assessed” in Germany and Kuwait.

And then on Tuesday — almost two weeks after Trump and other officials said no one was hurt — another Defense Department spokesperson said that “additional service members have been identified as having potential injuries” and are under evaluation in Germany, too, though the exact number of troops or nature of the injuries is unclear.

While Iran didn’t kill a single US military member — as far as we know — it’s clear the human toll is much higher than the administration initially let on. Of course, it’s possible that officials didn’t notice the injuries until well after the Iran attack, as the first injuries to be identified are usually those involving visible physical wounds.”

The ultimate guide to the Donald Trump impeachment saga

“The impeachment saga feels complicated. There’s incremental news of the day, many players, and obscure congressional processes. But fundamentally, the set of facts and political calculations haven’t changed from the start. This explainer is meant to serve as a guide to this important story, and we’ll keep it updated as news unfolds.”

Capitalism is turning us into addicts

“Capitalism is great at making people want things they don’t need.

And of course this is what we should expect from a system that runs on production and consumption. Companies make and sell products and those products have to be consumed by as many people as possible — that’s what makes the whole thing work.

So it’s not surprising that businesses do everything they can to convince people to buy whatever they’re selling. But what happens when marketing becomes active manipulation? More precisely, what happens when companies use science and technology not only to refine our pleasures but to engineer addictive behaviors?”

“I’m not anti-capitalism, but I am calling attention to a certain species of capitalism that cultivates addictive behavior for profit.”

Fox News goes to desperate lengths to gin up outrage over clip of Vince Vaughn chatting with Trump

“Fox News’s article about how Vaughn supposedly “faces liberal outrage after he was seen with Trump during national championship game” prominently features a tweet from Washington Examiner staffer Siraj Hashmi, who is hardly a liberal, sarcastically quipping that “Ladies & gentlemen, I regret to inform you Vince Vaughn is CANCELED” — but the tweet is presented in David Aaro’s article as though Hashmi is a liberal who meant it earnestly.

Hashmi later noted on Twitter that the Fox News article caused right-wing trolls to flood his Instagram page with abusive comments. And the few other examples of “liberal outrage” in the piece were gleaned from the far fringes of Twitter. (Fox News still hasn’t figured out that Hashmi isn’t actually liberal as of Tuesday afternoon — his tweet was falsely cited as an example of “liberal cancel culture” on Outnumbered.)”

“a few left-wing accounts did react to Burke’s clip with comments like, “Sad. Vince Vaughn is one of my favorites. I always knew he was Republican but this, so gross … I don’t need a Wedding Crashers sequel anymore.” But the idea that there was some sort of concerted liberal backlash to the clip is make-believe aimed at ginning up outrage.”