What the GOP debate revealed about Republican health care hypocrisy

“On abortion, on health care for transgender people, even on mental health care, the candidates were comfortable flexing governmental authority to dictate the terms of medical treatment.
But when it comes to using that same authority to protect people during a global pandemic or providing health coverage to people with low incomes, they don’t want the government getting involved.”

https://www.vox.com/2024-elections/2023/8/25/23844263/republican-debate-national-abortion-ban-trans-care-covid

Will diet soda, yogurt, and cereal disappear from stores?

“the World Health Organization’s International Agency for Research on Cancer (IARC) declared aspartame as “possibly carcinogenic.” Another WHO committee, the Joint FAO/WHO Expert Committee on Food Additives (JECFA), independently assessed the ingredient, too, but maintained its existing recommendation — suggesting not that people cut the substance entirely out of their diets but that they limit their daily aspartame consumption to about 40 mg per kilogram (or about 2.2 pounds) of body weight. Diet soda contains about 200 mg of aspartame per 12-ounce can. By that measure, an adult weighing 60 kg, or roughly 132 pounds, would need to drink about 12 cans of diet soda a day to exceed the JECFA’s recommendation, assuming they had nothing else containing aspartame.
Making matters more confounding, the Food and Drug Administration had yet another take. It told Vox in an email that it had reviewed the information used in WHO’s assessment and “identified significant shortcomings” in the studies the agency relied on. “Aspartame is one of the most studied food additives in the human food supply,” the agency added.”

Federal judge rips into Florida’s ban on gender-affirming care for kids

“A federal judge delivered a stinging rebuke to Florida Gov. Ron DeSantis and the Republican-controlled Legislature over rules and a new state law that banned minors from receiving “puberty blockers” and other types of gender-affirming care.
U.S. District Judge Robert Hinkle on Tuesday blocked the state from applying the ban to three minors whose parents are part of an ongoing lawsuit, saying they would “suffer irreparable harm” if they were not allowed to continue access to hormones and other types of treatment.”

“The American Academy of Pediatrics and the American Medical Association support gender-affirming care for adults and adolescents. But medical experts said gender-affirming care for children rarely, if ever, includes surgery. Instead, doctors are more likely to recommend counseling, social transitioning and hormone replacement therapy.”

The mysterious middlemen being blamed for America’s sky-high drug prices

“Pharmacy benefit managers are companies that, behind the scenes, determine what patients have to pay for medications. They manage insurance benefits for prescription drugs, dictating which drugs are covered by insurers and what costs patients will face when they fill their prescriptions.
To do that, they negotiate discounts, or rebates, with drug manufacturers and afford privileged status to the companies that give them the best deals.

And over the past few decades, as the prescription drug market has evolved and become more lucrative, so have PBMs. They run their own mail-order and specialty pharmacies. More recently, they have begun merging with health insurers, creating behemoth companies with the power to determine where and how billions of dollars are spent within the US health system.

Pharmacy benefit managers have become known as the mysterious middlemen of the pharma trade — and as a useful scapegoat for drug companies seeking to deflect blame from their own pricing practices.

Now the Senate, as part of forthcoming prescription drug legislation, appears poised to impose new rules on them. The committee overseeing health care debated last week a slew of measures requiring PBMs to be more transparent about their business and cracking down on some of their moneymaking practices.”

“Experts generally agree that these companies play a role in driving up drug costs for some US patients, even as they negotiate discounts with drugmakers that benefit others, and that the amount of secrecy about their financial arrangements warrants scrutiny.

But reforms to the PBM industry aren’t a cure-all for making drugs more affordable: Sanders said the PBM measures being considered in the Senate would not meaningfully lower the cost of medicine for most people, even if they would bring more accountability and transparency to the sector.”

Gas Stove Bans Promoted From Baseless Conspiracy Theory to New York State Policy

“Supporters of gas stove bans argue that the gas needed to fuel them is bad for the climate and that the emissions they produce within the home are bad for your health.
Steve Everley, writing in National Review in January, covered several flaws in the most recent studies finding serious health impacts from gas stoves. Experimental studies that found links between gas stoves and child asthma used airtight rooms without ventilation. The author of another much-touted meta-analysis finding a link between gas stoves and child asthma said their study “does not assume or estimate a causal relationship.” Masses of earlier studies, Everley notes, have found no health impacts from gas stoves.

In the short-term, mandated electrification of appliances is probably worse for the climate. On-site use of gas stoves and furnaces uses almost all the energy in the gas. Generating electricity from gas and then using that electricity to power appliances is much less efficient. Of New York’s 10 largest power plants, for instance, five are powered by natural gas.”

How Ron DeSantis transformed into an anti-public health crusader

“In March 2020, in the uncertain first weeks of the pandemic, Florida Gov. Ron DeSantis acted and talked like most other politicians. He shut down public schools and prohibited visitors at nursing homes. He expanded testing capacity and closed parks out of what he called a need to meet the Centers for Disease Control and Prevention’s guidelines on social distancing. By early April, he had issued his own version of a stay-at-home order and was urging his state’s residents to stay “spiritually together, but to remain socially distant.”
Three years later, DeSantis has transformed himself into the face of an anti-“woke,” anti-public health movement that blossomed during the pandemic — the leader of an administration that was willing to not only defy the public health consensus but to control and manipulate information in order to advance its narrative of a crisis that has killed more than 1.1 million Americans, including more than 87,000 Floridians.

A report this month from the Tampa Bay Time revealed that DeSantis’s state surgeon general had altered scientific data in order to justify his official position that young men should not receive the Covid-19 vaccine. DeSantis, who has criticized former President Donald Trump for deferring to public health officials like Anthony Fauci, has embraced conspiratorial talking points. He has suggested profits and not public health drove the Covid vaccine campaign and convened a state grand jury to investigate any “misconduct” on the part of drug manufacturers and the scientific community related to the vaccines.”

“What’s clear is something changed, and quickly. Within a month of pleading with Floridians to remain socially distant, DeSantis had begun to reopen the state’s economy. As months went by, he became more brazen in his willingness to bend the truth around Covid and staffed his administration accordingly. Within a year, he had hired a Covid vaccine skeptic as his surgeon general, who would later be accused of altering study data to advance that agenda, and was fighting cruise ships over their plans to impose vaccine mandates for their passengers.”

“In March and April, the governor’s approval ratings sagged. For those who wanted him to be aggressive in fighting Covid-19, he was not doing enough. For the conservative voters beginning to believe an alternative narrative of the pandemic, his response was an overreaction. As he fumbled through the first few weeks of Covid-19, DeSantis seemed to satisfy no one.

So the governor picked a lane. DeSantis sided with the Republican base upon which he would depend for his political future.

One public health expert who spoke directly with DeSantis around that time, who, like others I interviewed, did not want to be quoted by name for fear of retribution, said the governor referred specifically to senior residents in conservative areas like the Villages as “my people” and appeared preoccupied most with them when considering the response to the coronavirus. Later on, his vaccine-skeptical agenda reflected the mood of many conservative voters, who had glommed onto mischaracterizations about the risks of Covid-19 and conspiracy theories about the vaccines meant to stop it.

DeSantis’s pandemic response helped make him into a national figure, valorized among conservatives and villainized by Democrats and many public health experts.”