ReportWire

Tag: iab-healthcare industry

  • Georgia is now the only state with work requirements in Medicaid | CNN Politics

    Georgia is now the only state with work requirements in Medicaid | CNN Politics



    CNN
     — 

    Georgia is now the only state in the US to implement work requirements in its Medicaid program – a feat many Republican lawmakers nationwide will be closely monitoring.

    But unlike GOP-led states’ prior attempts to impose work mandates in Medicaid, Georgia’s effort is expected to increase the number of people with health insurance, rather than strip coverage away from an untold number of low-income residents. That allowed it to pass muster in court, though critics still deride the program as complicated, ineffective and expensive.

    Pathways to Coverage, which began July 1, comes as House Republicans in Congress are pushing to expand work requirements in the nation’s safety net programs, particularly Medicaid and food stamps.

    There is no federal work mandate in Medicaid, but 13 states received permission during the Trump administration to require existing enrollees to work, volunteer or meet other criteria to retain their health insurance. In Arkansas, the only state that implemented work requirements and terminated coverage, more than 18,000 people were disenrolled in 2018 before its waiver was voided by a federal court.

    States paused their initiatives because of litigation or the Covid-19 pandemic, and then the Biden administration withdrew the waiver approvals. But Georgia challenged the withdrawal, and a federal judge ruled in the state’s favor in August 2022, allowing it to implement Pathways to Coverage.

    Georgia has among the nation’s strictest eligibility requirements for Medicaid. It is one of 10 states that has not expanded the program to all low-income adults under the Affordable Care Act. Parents only qualify if they make less than 31% of the federal poverty level for a family of three – or about $7,700 this year, according to KFF, a health policy research organization.

    Under Pathways to Coverage, adults making up to 100% of the federal poverty level – about $14,600 for an individual – can enroll if they work, participate in job training or community service, take higher education classes or meet other criteria for at least 80 hours a month.

    “In our state, we want more people to be covered at a lower cost with more options for patients,” Gov. Brian Kemp said in his State of the State address in January.

    Just how many people are expected to gain coverage varies. In his speech, Kemp said up to 345,000 Georgians are potentially eligible for the program, while the state Department of Community Health said the state has budgeted for an estimated enrollment of 100,000 residents in the first year.

    Interest in the program is continuing to grow, said the department, which is working with insurers, community groups and others to get the word out.

    Others, however, estimate far fewer people will gain coverage. The state funds allotted for the program in the current fiscal year will allow about 47,500 to enroll, according to the Georgia Budget and Policy Institute, a left-leaning advocacy group.

    Fully expanding Medicaid would cover far more people and at a lower cost to the state, said Leah Chan, the institute’s director of health justice. Some 482,000 Georgians earning up to 138% of the federal poverty level – or about $20,100 for an individual – could gain coverage.

    Also, the federal government covers a larger share of the costs of the full expansion enrollees and would temporarily provide a boost in federal funding for existing traditional Medicaid participants under a provision of the American Rescue Plan Act aimed at enticing holdout states to expand.

    If Georgia fully expanded Medicaid, each newly eligible enrollee would cost the state about $496, Chan said. But under Pathways to Coverage, each will cost $2,490 because the program does not qualify for the enhanced federal match.

    “It doesn’t make sense for us to implement a program that’s going to cover fewer people at a higher cost when we have an option that could close the coverage gap and draw down millions and millions – some estimates say billions – in federal dollars,” Chan said.

    Plus, it could be tough for low-income residents, particularly those in rural areas of the state where many of the uninsured live, to work enough hours consistently to qualify, she said. And those who do may get tripped up in submitting the necessary monthly documentation.

    Another issue: There are no exemptions for parents of dependent children or other caregivers, said Joan Alker, executive director of the Center for Children and Families at Georgetown University. Other states that sought to implement work requirements during the Trump administration had such exemptions.

    “A small number of people may get coverage, but the likelihood of them retaining that coverage for a while is not very high,” Alker said. “And this is an especially problematic structure for parents.”

    Georgia officials, however, say Pathways to Coverage is the right program for the state.

    “This approach is Georgia-centric and ensures we can expand Medicaid coverage to those who were previously ineligible without forcing others off their preferred private insurance,” the state Department of Community Health said in a statement to CNN. “Unlike the top-down approach of traditional Medicaid expansion, Georgia Pathways was developed by Georgians and is run by Georgians to address our state’s specific needs.”

    This story has been updated with additional information.

    Source link

  • Cyberattack forces hospitals to divert ambulances in Connecticut and Pennsylvania | CNN Politics

    Cyberattack forces hospitals to divert ambulances in Connecticut and Pennsylvania | CNN Politics



    CNN
     — 

    A cyberattack on Thursday knocked computer systems offline at hospitals in Connecticut and Pennsylvania, forcing them to send ambulances to other hospitals, hospital spokespeople told CNN.

    As of late Friday morning, Crozer Health, a network of three hospitals and a medical center in the Philadelphia suburbs, was still diverting ambulances for stroke and trauma patients to other hospitals because of a “ransomware attack,” Crozer Health spokesperson Lori Bookbinder told CNN.

    The hack hit Prospect Medical Holdings and affected all of their health care facilities, according to a statement from PMH affiliate Eastern Connecticut Health Network. PMH owns 16 hospitals in California, Connecticut, Pennsylvania and Rhode Island, according to its website.

    At Eastern Connecticut Health Network, which includes two hospitals, the urgent care center is closed and elective surgeries were canceled until further noticed because of the hack, according to the network’s website.

    Other Prospect Medical Holdings affiliates reported disruptions from the hack.

    “We are working closely with federal law enforcement to respond to this incident,” Prospective Medical Holdings said in a statement to CNN.

    National Security Council spokeswoman Adrienne Watson told CNN that the White House is “closely monitoring the ongoing incident,” adding that “the Department of Health and Human Services has been in contact with the company to offer federal assistance, and we are ready to provide support as needed to prevent any disruption to patient care as a result of this incident.”

    The company has so far declined offers of federal assistance, according to a US official.

    But Prospective Medical Holdings said later Friday that they “believe there may have been a miscommunication or a misunderstanding” and that they “welcome any assistance from the federal government.”

    CharterCARE Health Partners, which includes two hospitals in Rhode Island, said Thursday that the incident was affecting “inpatient and outpatient operations” and that “some patient procedures may be affected.”

    Patient care continues at the affected hospitals, but they’re operating with limited capacity in what is now a well-rehearsed routine. Throughout the coronavirus pandemic, ransomware and other cyberattacks hampered patient care at American hospitals that are often ill-equipped to deal with them.

    Eastern Connecticut Health Network ended ambulance diversion at 10 a.m. local time Friday, spokesperson Nina Kruse told CNN. The emergency rooms at ECHN’s two hospitals have been open throughout the incident, Kruse said.

    This isn’t Crozer Health’s first bout with ransomware. A June 2020 attack orchestrated by a prolific ransomware gang forced the hospital network to take its computer systems offline.

    This story has been updated with additional reporting.

    Source link

  • Between 100 and 300 believed killed in Gaza hospital blast, according to preliminary US intelligence assessment | CNN Politics

    Between 100 and 300 believed killed in Gaza hospital blast, according to preliminary US intelligence assessment | CNN Politics



    CNN
     — 

    The US intelligence community assesses that there likely were between 100 to 300 people killed in the blast at the Al-Ahli Baptist Hospital in Gaza, and there was “only light structural damage at the hospital,” according to an unclassified intelligence assessment obtained by CNN that adds more detail to the initial assessment released Wednesday finding Israel was not responsible for the strike.

    The unclassified assessment sent to Capitol Hill by the Office of the Director of National Intelligence adds more detail to the US intelligence community’s initial assessment released Wednesday that Israel was not responsible for the strike on the hospital.

    “Israel Probably Did Not Bomb Gaza Strip Hospital: We judge that Israel was not responsible for an explosion that killed hundreds of civilians yesterday [17 October] at the Al Ahli Hospital in the Gaza Strip,” the assessment states. “Our assessment is based on available reporting, including intelligence, missile activity, and open-source video and images of the incident.”

    The US intelligence community also estimates the number of deaths from the hospital at the “low end of the 100-to-300 spectrum,” according to the assessment, a lower number than figures initially cited by Hamas of more than 500.

    The intelligence community “observed only light structural damage at the hospital,” with no observable damage to the main hospital building and no impact craters, according to the assessment.

    “We see only light damage to the roofs of two structures near the main hospital building, but both structures remained intact,” the assessment states.

    The US intelligence community released its initial assessment on Wednesday that Israel was not responsible after President Joe Biden stated publicly while in Israel that the strike appeared to have been “the result of an errant rocket fired by a terrorist group in Gaza.” Biden is giving a primetime address from the Oval Office on Thursday evening.

    The National Security Council has said that the Biden administration plans to publicize as much intelligence as it can about the strike amid accusations that Israel was responsible for the blast.

    “We will be sharing that information with our friends and partners in the region we have shared as much of that information as we can publicly,” Deputy National Security Adviser Jon Finer said on “CNN This Morning” on Thursday.

    The assessment states that intelligence indicates that “some Palestinian militants in the Gaza Strip assessed that the explosion was likely caused by an errant rocket or missile launch carried out by Palestine Islamic Jihad” and that the militants were still investigating.

    “We continue to work to corroborate whether the explosion resulted from a failed PIJ rocket,” the ODNI assessment states.

    “We are still assessing the likely casualty figures and our assessment may evolve, but this death toll still reflects a staggering loss of life,” the assessment states. “The United States takes seriously the deaths of all civilians, and is working intensively to address the humanitarian crisis in Gaza.”

    Finer told CNN that the assessment of the hospital strike was a warning to the danger of drawing conclusions amid the fog of war. “I think this is a cautionary note for governments in the region, and frankly for press, in responding to each and every twist and turn in a conflict,” he said.

    The Biden administration has been debating how much raw intelligence to declassify underpinning its assessment that the deadly blast at the Gaza hospital was caused by an errant rocket from a Palestinian militant group — not a missile from Israel, according to a senior administration official.

    The White House believes that providing a clearer assessment to the public would be useful in trying to establish a clear and accurate narrative of events, this official said, noting it hasn’t reached a conclusion about how effective raw intelligence would be in that effort.

    The debate a reflects growing concern that the US and Israel have lost control of the narrative spiraling out of Gaza that Israel was to blame for those killed in the hospital blast on Tuesday evening.

    Former intelligence officials and sources familiar with current US intelligence were skeptical that there was anything the US might make public that would be believed in the Arab world.

    “Unfortunately, the narratives have already spread and solidified at this point,” said one US official.

    Following a classified Capitol Hill briefing Wednesday afternoon, a bipartisan group of senators urged the Biden administration to make public as much of the intelligence as possible.

    “A part of the focus also has to be lowering the temperatures in some of the countries that have had reasonably good relationships with Israel — think Jordan, think Egypt,” Sen. Thom Tillis, Republican from North Carolina, told reporters on Wednesday. “That’s more of the focus now.”

    Source link

  • YouTube to prohibit false claims about cancer treatments under its medical misinformation policy | CNN Business

    YouTube to prohibit false claims about cancer treatments under its medical misinformation policy | CNN Business


    New York
    CNN
     — 

    YouTube announced Tuesday that it will start removing false claims about cancer treatments as part of an ongoing effort to build out its medical misinformation policy.

    Under the updated policy, YouTube will prohibit “content that promotes cancer treatments proven to be harmful or ineffective, or content that discourages viewers from seeking professional medical treatment,” Dr. Garth Graham, head of YouTube Health, said in a blog post Tuesday.

    “This includes content that promotes unproven treatments in place of approved care or as a guaranteed cure, and treatments that have been specifically deemed harmful by health authorities,” he said, such as the misleading claim that patients should “take vitamin C instead of radiation therapy.”

    The update is just one of several steps YouTube has made in recent years to build out its medical misinformation policy, which also prohibits false claims about vaccines and abortions, as well as content that promotes or glorifies eating disorders.

    As part of the announcement, YouTube is rolling out a broader updated medical misinformation policy framework that will consider content in three categories: prevention, treatment and denial.

    “To determine if a condition, treatment or substance is in scope of our medical misinformation policies, we’ll evaluate whether it’s associated with a high public health risk, publicly available guidance from health authorities around the world, and whether it’s generally prone to misinformation,” Graham said. He added that YouTube will take action on content that falls into that framework and “contradicts local health authorities or the World Health Organization.”

    Graham said the policy is designed to preserve “the important balance of removing egregiously harmful content while ensuring space for debate and discussion.”

    Cancer treatment fits YouTube’s updated medical misinformation framework because the disease poses a high public health risk and is a topic prone to frequent misinformation, and because there is “stable consensus about safe cancer treatments from local and global health authorities,” Graham said.

    As with many social media policies, however, the challenge often isn’t introducing it but enforcing it. YouTube says its restrictions on cancer treatment misinformation will go into effect on Tuesday and enforcement will ramp up in the coming weeks. The company has previously said it uses both human and automated moderation to review videos and their context.

    YouTube also plans to promote cancer-related content from the Mayo Clinic and other authoritative sources.

    Source link

  • Medical imaging struggles to read dark skin. Researchers say they’ve found a way to make it easier | CNN Business

    Medical imaging struggles to read dark skin. Researchers say they’ve found a way to make it easier | CNN Business



    CNN
     — 

    Traditional medical imaging – used to diagnose, monitor or treat certain medical conditions – has long struggled to get clear pictures of patients with dark skin, according to experts.

    Researchers say they have found a way to improve medical imaging, a process through which physicians can observe the inside of the body, regardless of skin tone.

    The new findings were published in the October edition of the journal Photoacoustics. The team tested the forearms of 18 volunteers, with skin tones ranging from light to dark. They found that a distortion of the photoacoustic signal that makes the imaging more difficult to read, called clutter, increased with darkness of skin.

    “When you have darker skin, you have more melanin. And melanin is actually one of the optical absorbers that we inherently have within our body,” Muyinatu Bell, an author of the study and director and founder of the Photoacoustic and Ultrasonics Systems Engineering (PULSE) Lab at JHU, told CNN. In other words, the amount of melanin content in the skin could be associated with more clutter.

    “The skin essentially acts as a transmitter of sound, but it’s not the same type of focused sound that we get and we want with ultrasound, it’s everywhere diffused and creates a lot of confusion,” Bell said. “And so, this scattering of the sound that’s caused by the melanin absorption is worse and worse with the higher melanin concentration.”

    The study – a collaboration with researchers in Brazil who had previously used one of Bell’s algorithms – found that signal-to-noise ratio, a scientific measure that compares signal with background noise, improved for all skin tones when the researchers used a technique called “short-lag spatial coherence beamforming” while performing medical imaging. That technique, originally used for ultrasounds, can be applied to photoacoustic imaging.

    The technique involves a combination of light and ultrasound technology, forming a new medical imaging modality, Theo Pavan, an author of the study and associate professor with the department of physics at University of São Paulo in Brazil, told CNN.

    “We really verified that it was much less sensitive to the skin color in terms of the quality of the image that you can get compared to the conventional methods that … is more commonly used by the community,” Pavan said.

    The study is “the first to objectively assess skin tone and to both qualitatively and quantitatively demonstrate that skin” photoacoustic signal “and clutter artifacts increase with epidermal melanin content,” the researchers wrote.

    The applications of photoacoustic technology vary, but with the researchers’ new developments, it may help diagnose health issues more accurately and equitably.

    “Right now, it’s increasing the application of the breast imaging,” and the next step would be to “increase the image quality overall,” said Guilherme Fernandes, an author of the study and a Ph.D. candidate in physics applied to medicine and biology at USP.

    The researchers’ work could also mean advancements for equity in health care at large.

    “In our scientific technology, there is a bias in terms of developing these products, for things that work well in lighter-skinned people,” said Dr. Camara Jones, a family physician, epidemiologist and former president of the American Public Health Association, who was not involved in the new study.

    “The biggest problem is that we use a thing we call race, as a risk factor — as a health risk factor. And so race is the social and interpretation of how people look in a race-conscious society. Race is not biology,” Jones explained. “We’ve mapped the human genome. We know there’s no basis in the human genome for racial sub-speciation.”

    This study isn’t the first to find skin color biases in medical technology. Medical equipment that leverages infrared sensing has also been found to not work as well on darker skin, since skin tone can interfere with the reflection of light.

    Many devices that were in frequent use during the Covid-19 pandemic, such as pulse oximeters and forehead thermometers, involve emitting and capturing light to make a measurement. But if that device isn’t calibrated for darker skin, the pigmentation could affect how the light is absorbed and how the infrared technology works.

    Bell said her research can hopefully pave a way to eliminating discrimination in health care and inspire others to develop technology that helps everyone, regardless of their skin tone.

    “I believe that with the ability to show that we can devise and develop technology — that doesn’t just work for one small subset of the population but works for a wider range of the population. This is very inspiring for not only my group, but for groups around the world to start thinking in this direction when designing technology. Does it serve the wider population?” Bell said.

    Source link

  • Lawsuit seeks to halt Medicaid terminations in Florida | CNN Politics

    Lawsuit seeks to halt Medicaid terminations in Florida | CNN Politics



    CNN
     — 

    Two consumer advocacy groups filed a lawsuit in a Florida federal court Tuesday seeking to halt the state’s termination of residents’ Medicaid benefits.

    The suit is the first in the nation to challenge states’ resumption of reviewing Medicaid enrollees’ eligibility and dropping those deemed no longer qualified. The process, which Congress had suspended for three years during the Covid-19 pandemic, restarted as early as April, depending on the state.

    The Florida Health Justice Project and the National Health Law Program filed the lawsuit on behalf of three Floridians in US District Court in Jacksonville against the state’s Agency for Health Care Administration and the Department of Children and Families. The residents are a 25-year-old woman and her 2-year-old daughter, who has cystic fibrosis, as well as a 1-year-old girl.

    The plaintiffs argue that the notices the agencies are sending to inform enrollees that they are no longer eligible are confusing and don’t provide sufficient explanation as to why they are losing coverage.

    “As a result, Plaintiffs and class members are losing Medicaid coverage without meaningful and adequate notice, leaving them unable to understand the agency’s decision, properly decide whether and how to contest their loss of Medicaid coverage, or plan for a smooth transition of coverage that minimizes disruptions in necessary care,” the complaint reads. “Without Medicaid coverage, Plaintiffs are unable to obtain care they need, including prescription drugs, children’s vaccinations, and post-partum care.”

    The advocates are asking the court to require the state to stop terminating enrollees until the agencies provide adequate notice and an opportunity for a pre-termination fair hearing.

    Mallory McManus, deputy chief of staff for the Department of Children and Families, called the lawsuit “baseless.” While she said the state cannot comment on pending litigation, she said the letters to recipients are “legally sufficient.”

    The federal Centers for Medicare and Medicaid Services “approved the Department’s redetermination plan based on their regulations. There are multiple steps in the eligibility determination process and the final letter is just one of multiple communications from the Department,” said McManus, adding that the agency “continues to lead on Medicaid determinations and being fiscally responsible.”

    The Agency for Health Care Administration did not immediately return a request for comment.

    Nearly 183,000 Floridians have been issued notices saying they no longer qualify for Medicaid, according to the lawsuit. Hundreds of thousands more will have their coverage reviewed in the coming year.

    In addition to those determined ineligible, nearly 226,000 were dropped for so-called procedural reasons, typically because enrollees did not complete the renewal application, according to KFF, formerly the Kaiser Family Foundation. This often happens because it may have been sent to an old address, it was difficult to understand or it wasn’t returned by the deadline.

    Nearly 898,000 Florida residents have had their coverage renewed, according to KFF.

    Nationwide, more than 5.2 million people have been disenrolled since the so-called Medicaid unwinding began in the spring, according to KFF. Nearly three-quarters of those who have lost coverage were dropped for procedural reasons.

    Source link

  • Ben Carson Fast Facts | CNN Politics

    Ben Carson Fast Facts | CNN Politics



    CNN
     — 

    Here is a look at the life of former US Secretary of Housing and Urban Development Ben Carson, a retired neurosurgeon and a former presidential candidate.

    Birth date: September 18, 1951

    Birth place: Detroit, Michigan

    Birth name: Benjamin Solomon Carson

    Father: Robert Carson, auto factory worker

    Mother: Sonya (Copeland) Carson, domestic worker

    Marriage: Lacena “Candy” (Rustin) Carson (July 1975-present)

    Children: Murray, Benjamin Jr and Rhoeyce

    Education: Yale University, B.A. in Psychology, 1973; University of Michigan School of Medicine, M.D., 1977

    Religion: Seventh Day Adventist

    When Carson became the director of pediatric neurosurgery at Johns Hopkins at age 33, he was the youngest person to head a major division in the hospital’s history.

    His parents separated when he was 8, after it was revealed his father was a bigamist. He and his brother were raised by their mother.

    Carson admits that he had a violent temper in his youth, and says one of the defining moments of his life occurred when he was 14. Carson attempted to stab a schoolmate, but luckily the boy’s belt buckle blocked the knife. After praying for three hours, Carson “came to an understanding that to lash out at people is not a sign of strength, it was a sign of weakness.”

    Known for offering provocative commentary on a wide range of issues, including comparing the modern American government to Nazi Germany in a March 2014 interview with Breitbart, and at the 2013 Values Voters Summit, saying that Obamacare is “the worst thing that has happened in this nation since slavery.”

    1977-1978 – Intern in general surgery at The Johns Hopkins School of Medicine.

    1978-1982 – Completes his neurosurgery residency at Johns Hopkins.

    1982-1983 – Chief neurosurgery resident at Johns Hopkins.

    1983-1984 – Senior registrar in neurosurgery at Sir Charles Gairdner Hospital in Perth, Australia.

    1984-2013 – Director of pediatric neurosurgery at Johns Hopkins Children’s Center.

    1987 – Primary neurosurgeon on team that performs the first successful surgery to separate conjoined twins connected at the back of the head (occipital craniopagus twins).

    1990 – Carson’s best-selling autobiography, “Gifted Hands: The Ben Carson Story,” is published.

    1994 – Founds the Carson Scholars Fund with his wife, which facilitates leisure reading for children and funds college scholarships for students with strong academics and humanitarian achievement.

    1997 – Primary neurosurgeon on the team that performs the first fully successful surgery to separate Type 2 vertical craniopagus twins (joined at the top of the head and facing opposite directions), where both twins survive and are neurologically normal.

    2002 – Co-founds the Benevolent Endowment Network (BEN) Fund, which provides financial support for the medical expenses of pediatric neurosurgery patients.

    August 2002 – Undergoes surgery for prostate cancer. He is later declared cancer-free.

    2004 – Named by President George W. Bush to the President’s Council on Bioethics.

    June 19, 2008 – Receives the Presidential Medal of Freedom from President Bush.

    February 7, 2009 – Cuba Gooding Jr. plays Carson in the made-for-television movie, “Gifted Hands: The Ben Carson Story.”

    February 7, 2013 – Gains national attention after he criticizes Democratic policies on taxes and healthcare during his keynote address at the National Prayer Breakfast.

    July 1, 2013 – Retires from Johns Hopkins as director of pediatric neurosurgery, professor and co-director of the Craniofacial Center.

    October 2013-November 2014 – Contributor for Fox News.

    November 2014 – Officially switches his party affiliation from registered Independent to Republican, a move he later acknowledges was spurred on by a possible presidential run.

    March 4, 2015 – On CNN’s “New Day,” Carson asserts that homosexuality is a choice because people “go into prison straight – and when they come out, they’re gay.” He later apologizes for his comments, but says that the science is still murky on the issue.

    May 4, 2015 – Formally announces his candidacy for US president in his hometown of Detroit.

    March 2, 2016 – After a disappointing finish on Super Tuesday, Carson announces he doesn’t “see a political path forward” in the Republican presidential nomination process, and will not attend the upcoming GOP presidential debate in Detroit.

    March 4, 2016 – In a speech at the Conservative Political Action Conference gathering in National Harbor, Maryland, Carson officially ends his presidential campaign and reveals his next move: becoming the national chairman of My Faith Votes, a group focused on getting out the Christian vote in November.

    March 11, 2016 – Carson announces his endorsement of GOP presidential candidate Donald Trump.

    November 15, 2016 – A close Carson adviser tells CNN that Carson has declined an offer from President-elect Trump to join his cabinet as secretary of Health and Human Services.

    December 5, 2016 – The Trump transition team announces Carson will be nominated as the next secretary of the Department of Housing and Urban Development.

    March 2, 2017 – Carson is confirmed as HUD secretary with a 58-41 vote in the Senate.

    February 2018 – CNN obtains a November 2017 complaint from HUD’s former chief administration officer, who said she was told to “find money” beyond the legal $5,000 limit for redecorating Carson’s office. Soon after, it is revealed that HUD spent $31,000 to replace a dining room set for the office. Carson says in a statement to CNN that he was “surprised” about the order and had it canceled.

    May 16, 2019 – In a letter to Congress, the Government Accountability Office’s general counsel says HUD broke the law when it spent about $40,000 in 2017 for a new dining set and dishwasher for Carson’s office.

    September 12, 2019 – HUD’s internal watchdog clears Carson of wrongdoing for his plan to purchase a $31,000 dining set without notifying Congress.

    November 9, 2020 – HUD Deputy Chief of Staff Coalter Baker releases a statement that Carson has tested positive for the coronavirus. “He is in good spirits and feels fortunate to have access to effective therapeutics which aid and markedly speed his recovery.”

    May 17, 2022 – Carson’s book “Created Equal: The Painful Past, Confusing Present, and Hopeful Future of Race in America,” is published.

    November 15, 2022 – “Crisis in the Classroom: Crisis in Education,” a book co-authored by Carson, attorney Ben Crump and political commentator Armstrong Williams, is published.

    Source link

  • Biden administration seeks to remove medical bills from credit reports | CNN Politics

    Biden administration seeks to remove medical bills from credit reports | CNN Politics



    CNN
     — 

    Millions of Americans with unpaid medical bills would no longer have that debt show up on credit reports under proposals being considered by the Consumer Financial Protection Bureau.

    The agency, which is soliciting feedback from small businesses that may be affected, expects to issue a proposed rule next year, the bureau said Thursday.

    If the rule is finalized, consumer credit companies would be barred from including medical debt and collection information on reports that creditors use to make underwriting decisions.

    Creditors would only be able consider non-medical information when evaluating borrowers’ loan applications. And debt collectors would no longer be able to use the listing of medical debt on credit reports as leverage to pressure consumers into paying questionable bills, the bureau said.

    “Research shows that medical bills have little predictive value in credit decisions, yet tens of millions of American households are dealing with medical debt on their credit reports,” said CFPB Director Rohit Chopra. “When someone gets sick, they should be able to focus on getting better, rather than fighting debt collectors trying to extort them into paying bills they may not even owe.”

    Roughly 20% of Americans reported having medical debt, according to a 2022 report from the bureau. But Chopra stressed that many health care bills contain mistakes.

    “Families are often barraged with a string of confusing and error-ridden bills, and too many of us have ended up in a doom loop of disputes between insurance companies and health care providers,” he said. “These bills, even ones where the patient doesn’t owe anything further, can end up being reported on the patient’s credit report.”

    The proposals under consideration are the latest step in the bureau’s efforts to curb the impact of medical debt on consumers. CFPB and other agencies are also looking into medical billing practices, including costly products such as medical credit cards and installment loans.

    The White House has also sought to help lessen Americans’ medical debt burden as part of its effort to help people contend with inflation and higher costs of living. Last year, it laid out a four-point plan to help protect consumers, including having the bureau investigate credit reporting companies and debt collectors that violate patients’ and families’ rights.

    Medical debt has lowered people’s credit scores, which affects their ability to buy a home, get a mortgage or own a small business, Vice President Kamala Harris said in a call with reporters on Thursday.

    “We know credit scores determine whether a person can have economic health and well-being, much less the ability to grow their wealth,” she said. “Today, we are offering a solution to fix this problem … Together, these measures will improve the credit scores of millions of Americans so that they will better be able to invest in their future.”

    Also last year, the three largest credit reporting agencies – Equifax, Experian and TransUnion – announced they would remove nearly 70% of medical debt from consumer credit reports.

    The agencies no longer include medical debt that went to collections on consumer credit reports once it has been paid off. That eliminated billions of dollars of debt on consumer records.

    In addition, unpaid medical collection debt no longer appears on credit reports for the first year, whereas the previous grace period was six months. That gives people more time to work with their health insurers or providers to address the bills. And medical collection debt of less than $500 is no longer included on credit reports.

    Source link

  • Takeaways from the second Republican presidential debate | CNN Politics

    Takeaways from the second Republican presidential debate | CNN Politics



    CNN
     — 

    The second 2024 Republican presidential primary debate ended just as it began: with former President Donald Trump – who hasn’t yet appeared alongside his rivals onstage – as the party’s dominant front-runner.

    The seven GOP contenders in Wednesday night’s showdown at the Ronald Reagan Presidential Library in California provided a handful of memorable moments, including former South Carolina Gov. Nikki Haley unloading what often seemed like the entire field’s pent-up frustration with entrepreneur Vivek Ramaswamy.

    “Honestly, every time I hear you, I feel a little bit dumber for what you say,” she said to him at one point.

    Two candidates criticized Trump’s absence, as well. Florida Gov. Ron DeSantis said he was “missing in action.” Former New Jersey Gov. Chris Christie called the former president “Donald Duck” and said he “hides behind his golf clubs” rather than defending his record on stage.

    Chris Christie takes up debate time to send Trump a clear message

    The GOP field also took early shots at President Joe Biden. South Carolina Sen. Tim Scott said Biden, rather than joining the striking auto workers’ union on the picket line Tuesday in Michigan, should be on the southern border. Former Vice President Mike Pence said Biden should be “on the unemployment line.” North Dakota Gov. Doug Burgum said Biden was interfering with “free markets.”

    However, what played out in the debate, hosted by Fox Business Network and Univision, is unlikely to change the trajectory of a GOP race in which Trump has remained dominant in national and early-state polling.

    And the frequently messy, hard-to-track crosstalk could have led many viewers to tune out entirely.

    Here are takeaways from the second GOP primary debate:

    Trump might have played it safe by skipping the debates and taking a running-as-an-incumbent approach to the 2024 GOP primary.

    It’s hard to see, though, how he would pay a significant price in the eyes of the party’s voters for missing Wednesday night’s messy engagement.

    Trump’s rivals took a few shots at him. DeSantis knocked him for deficit spending. Christie mocked him during the night’s early moments, calling him “Donald Duck” for skipping the debate and then in his final comments said he would vote Trump off the GOP island.

    “This guy has not only divided our party – he’s divided families all over this country. He’s divided friends all over this country,” Christie said. “He needs to be voted off the island and he needs to be taken out of this process.”

    However, Trump largely escaped serious scrutiny of his four years in the Oval Office from a field of rivals courting voters who have largely positive views of his presidency.

    “Tonight’s GOP debate was as boring and inconsequential as the first debate, and nothing that was said will change the dynamics of the primary contest,” Trump campaign senior adviser Chris LaCivita said in a statement.

    The second GOP primary debate was beset by interruptions, crosstalk and protracted squabbles between the candidates and moderators over speaking time.

    That’s tough for viewers trying to make sense of it all but even worse for these candidates as they attempted to stand out as viable alternatives to the absentee Trump.

    Further complicating the matter, some of the highest polling candidates after Trump – DeSantis and Haley – were among those least willing to dive into the muck, especially during the crucial first hour. The moderators repeatedly tried to clear the road for the Florida governor, at least in the beginning. But he was all but absent from the proceedings for the first 15 minutes.

    Ramaswamy fared somewhat better, speaking louder – and faster – than most of his rivals. But he was bogged down repeatedly when caught between his own talking points and cross-volleys of criticisms from frustrated candidates like Scott.

    The moderator group will likely get criticism for losing control of the room within the first half-hour, but even a messy debate tells voters something about the people taking part.

    All night, Scott seemed like he was looking for a fight with somebody and he finally got that when he set his sights on fellow South Carolinian Haley.

    He began his line of attack – which Haley interjected with a “Bring it” – by accusing her of spending $50,000 on curtains in a $15 million subsidized location during her time as the US ambassador to the United Nations.

    What ensued was the two Republicans going back and forth about the curtains. “Do your homework, Tim, because Obama bought those curtains,” Haley said, while Scott repeated, “Did you send them back? Did you send them back?” Haley then responded: “Did you send them back? You’re the one who works in Congress.”

    It wasn’t the most acrimonious moment of the night, but it was up there. The feuding between the two South Carolina natives seemed deep, but it’s worth remembering that about a decade ago, when Haley was governor, she appointed Scott to the Senate seat he currently holds after Republican Jim DeMint stepped down. That confidence in Scott seems to have dissolved in this presidential race.

    Confronted by his Republican competitors for the first time in earnest, DeSantis delivered an uneven performance from the center of the stage – a spot that is considerably less secure than it was heading into the first debate in Milwaukee.

    Despite rules that allowed candidates to respond if they were invoked, DeSantis let Fox slip to commercial break when Pence seemed to blame the governor for a jury decision to award a life sentence, not the death penalty, to the mass murderer in the Parkland high school shooting. (DeSantis opposed the decision and championed a law that made Florida the state with the lowest threshold to put someone on death row going forward.) Nor did he respond when Pence accused DeSantis of inflating Florida’s budget by 30% during his tenure.

    He later let Scott get the last word on Florida’s Black history curriculum standards and struggled to defend himself when Haley – accurately – pointed out that he took steps to block fracking in Florida on his second day in office.

    Before the first debate in Milwaukee, a top strategist for a pro-DeSantis super PAC told donors that “79% of the people tonight are going to watch the debate and turn it off after 19 minutes.”

    By that measure, the Florida governor managed to first speak Wednesday night just in the nick of time – 16 minutes into the debate. And when he finally spoke, he continued the sharper attacks on the GOP front-runner that he has previewed in recent weeks.

    DeSantis equated Trump’s absence in California to Biden, who DeSantis said was “completely missing in action for leadership” on the economy, blaming him for inflation and the autoworkers strike.

    “And you know who else is missing in action? Donald Trump is missing in action,” DeSantis said. “He should be on this stage tonight. He owes it to you to defend his record.”

    But DeSantis then largely pulled back from further targeting Trump – until a post-debate Fox News appearance when he challenged the former president to a one-on-one face-off.

    DeSantis ended the debate on a strong note. He took charge by rejecting moderator Dana Perino’s attempts to get the candidates to vote one of their competitors “off the island.” He ended his night forcefully dismissing a suggestion that Trump’s lead in the polls held meaning in September.

    “Polls don’t elect presidents, voters elect presidents,” he said, before pointing a finger at Trump for Republicans’ electoral underperformance in the last three elections.

    But as the super PAC strategist previously pointed out: By then, who was watching?

    In the final minutes of the debate, co-host Ilia Calderón of Univision asked Pence how he would reach out to those Latino voters who felt the Republican Party was hostile or didn’t care about them.

    “I’m incredibly proud of the tax cut and tax reform bill,” he said, referring to Republicans’ sweeping 2017 tax law. He also cited low unemployment rates for Hispanic Americans recorded during the Trump-Pence administration.

    Scott, faced with the same question, said it was important to lead by example. “My chief of staff is the only Hispanic female chief of staff in the Senate,” he said. “I hired her because she was the best, highest-qualified person we have.”

    Calderón focused much of her time on a series of policy questions that highlighted the candidates’ records on immigration and gun violence. At times, some of them struggled to respond directly.

    She asked Pence if he would work with Congress to find a permanent solution for people who were brought to the country illegally as children. The Trump-Pence administration ended the Deferred Action for Childhood Arrivals program, which gave those young people protected status. She repeated the question after Pence focused his answer on his work securing the border. He then talked about his time in Congress.

    “Let me tell you, I served in Congress for 12 years, although it seemed longer,” he said. “But you know, something I’ve done different than everybody on this stage is I’ve actually secured reform in Congress.”

    The candidates – and moderators – shy away from abortion talk

    It took more than a 100 minutes on Wednesday night for the first question on abortion to be asked.

    About five minutes later, the conversation had moved on. What is potentially the most potent driver (or flipper) of votes in the coming election was afforded less time than TikTok.

    Tellingly, no one onstage seemed to mind.

    Perino introduced the subject by asking DeSantis whether some Republicans were right to worry that the electoral backlash to abortion bans – or the prospect of their passage – would handicap the eventual GOP nominee.

    DeSantis, who signed a six-week ban in April, dismissed those concerns, pointing to his success in traditionally liberal parts of Florida on his way to winning a second term in 2022. Then he swiped at Trump for calling the new laws “a terrible thing and a terrible mistake.”

    Christie took a similar path, arguing that his two terms as governor of New Jersey, a traditionally blue state, showed it was possible for anti-abortion leaders to win in a environments supportive of abortion rights.

    And with that, the abortion “debate” in Simi Valley ended abruptly. No more questions and no attempts by the rest of the candidates to interject or otherwise join the chat.

    Candidates pile on Ramaswamy

    Some of the candidates onstage didn’t want to have a repeat of the first debate, in which Ramaswamy managed to stand out as a formidable debater and showman.

    Early in Wednesday’s debate, Scott went after the tech entrepreneur, saying his business record included ties to the Chinese Communist Party and money going to Hunter Biden. The visibly annoyed Ramaswamy shifted gears from praising all the other candidates onstage to defending his business record. But Scott and Ramaswamy ended up talking over each other.

    A little later on Pence began an answer with a knock on Ramaswamy, saying, “I’m glad Vivek pulled out of his business deal in China.” At another point after Ramaswamy had responded to a question about his use of TikTok, Haley jumped in, saying, “Every time I hear you, I feel a little bit dumber from what you say” and then going on to say, “We can’t trust you. We can’t trust you.” As Ramaswamy tried to readopt his unity tone, Scott could be heard trying to interrupt him.

    Despite the efforts of moderators to pin them down, DeSantis and Pence struggled to respond when challenged on their respective records on health care.

    Asked about the Trump administration’s failure to end the Affordable Care Act as promised, Pence opted instead to answer a previous question about mass gun violence. When Perino pushed Pence one more time to explain why Obamacare remains not just intact but popular, the former vice president once again demurred.

    Fox’s Stuart Varney similarly pressed DeSantis to explain why 2.5 million Floridians don’t have health insurance.

    DeSantis found a familiar foil for Republicans in California: inflation. Varney, though, said it didn’t explain why Florida has one of the highest uninsurance rates in the country, to which DeSantis had little response.

    “Our state’s a dynamic state,” DeSantis said, before pointing to Florida’s population boom and the low level of welfare benefits offered there.

    Haley, though, appeared ready to debate health care, arguing for transparency in prices to lessen the power of insurance companies and providers and overhauling lawsuit rules to make it harder to sue doctors.

    “How can we be the best country in the world and have the most expensive health care in the world?” Haley said.

    This story has been updated with additional information.

    Source link

  • Amazon Clinic rolls out nationwide as e-commerce giant expands its health care footprint | CNN Business

    Amazon Clinic rolls out nationwide as e-commerce giant expands its health care footprint | CNN Business


    New York
    CNN
     — 

    Amazon’s virtual clinic is now available in all 50 states and Washington, D.C., the company announced on Tuesday.

    Amazon Clinic launched last November and offers customers 24/7 access to third-party health-care providers directly on Amazon’s website and mobile app. With the service, Amazon customers can receive telehealth treatment for dozens of common conditions, such as pink eye, urinary tract infections and hair loss.

    The company said on Tuesday that in addition to message-based consultations being available in 34 states, Amazon Clinic now supports video visits nationwide. Amazon Clinic currently does not accept insurance, but medication prescribed by clinicians may be covered by insurance.

    “At Amazon, we want to make it dramatically easier for people to get and stay healthy, and we’re doing that by helping customers get the care and medications they need in the way that is most convenient for them,” Dr. Nworah Ayogu, the chief medical officer and general manager at Amazon Clinic, said in a blog post Tuesday.

    The virtual service will allow customers to see the cost before they start the visit, Ayogu said.

    Amazon’s foray into the health care space comes as other retailers have made similar moves, from CVS to Walgreens to Walmart. The service will also face competition from urgent-care clinics that are popping up across the country as health care costs spiral and doctors visits for routine matters become impossible to book.

    A huge number of telehealth startups grew out of the pandemic, although the market growth has begun to subside.

    In recent years, Amazon has gradually been growing its footprint in the health care sector. In 2020, the company launched its own digital drugstore, Amazon Pharmacy. Earlier this year, Amazon also closed its acquisition of health care provider One Medical in a $3.9 billion deal.

    Amazon had also partnered with JPMorgan Chase and Berkshire Hathaway to provide better health care services and insurance at a lower cost to workers and families at the three companies, and possibly other businesses, too. That effort, however, never got off the ground and ultimately shut down in 2021.

    The latest expansion of Amazon Clinic comes as the company continues to broaden its reach into every corner of its customers’ lives. The company now oversees grocery stores, produces films and TV shows for its streaming service, and sells a vast array of home devices.

    Source link

  • Portland hospital shooting leaves at least 1 injured as police search for suspect | CNN

    Portland hospital shooting leaves at least 1 injured as police search for suspect | CNN



    CNN
     — 

    Police in Oregon are looking for a suspect after a shooting at a hospital in downtown Portland left at least one person injured, authorities said.

    Portland police said officers responded with a Crisis Response Team to Legacy Good Samaritan Medical Center in the northwest area of the city after reports of a person with a gun inside the facility, Sgt. Kevin Allen said in a news conference. The facility was placed on lockdown.

    When officers responded, they were told a person had opened fire inside the hospital. At least one person was injured, Allen said.

    “We were told that shots had been fired in the hospital,” Allen said. A witness told officers the suspected shooter had already left the hospital by the time police arrived.

    A Fred Meyer grocery store nearby was evacuated and searched by police, but Allen said authorities have not located the suspect.

    “This is still considered an active tactical incident. There’s efforts underway to locate the suspect,” Allen said, adding authorities “no longer think there’s any potential danger at the hospital.”

    Allen said officers from across the city were contributing to the search for the suspected shooter. The hospital will remain on lockdown as officers investigate, he said.

    Jonathan Avery, the hospital’s chief operating officer, called the shooting “an extremely scary situation.”

    “We really want to make sure that folks do not come to Good Samaritan today until everything has been cleared and we’re back and open,” Avery said.

    Portland Mayor Ted Wheeler also advised residents to “stay alert” on Twitter.

    “This is still an active investigation,” the mayor wrote. “We urge those in the area to stay alert until further notice.”

    Source link

  • A doctor known for assessing Covid risk fell ill with the virus. Here’s what he wants you to know | CNN

    A doctor known for assessing Covid risk fell ill with the virus. Here’s what he wants you to know | CNN



    CNN
     — 

    A doctor known for advising people on the risks of Covid-19 got a double surprise: He got Covid, and he wound up needing stitches because of it.

    Dr. Robert Wachter, who chairs the Department of Medicine at the University of California at San Francisco, said he had not tested positive for Covid until last week, according to posts from his Twitter account. He said he was fully vaccinated and had received his second bivalent booster in April.

    He said his symptoms started with a dry cough on July 9, and by that night, he had a fever, chills and a sore throat. Wachter said he made a mistake the following day when he took a shower while feeling these flu-like symptoms.

    “I work (sic) up in a bloody pool on my bathroom floor,” he wrote on Twitter. “There was a dent in the lid of a trashcan, likely where my head had hit. I remembered nothing. As I managed to get up, it was clear that my face was going to need stitches, and more than a couple.”

    Wachter said he required stitches on the back of his head and on his forehead, which he shared in a photo of himself with a black eye. He declined an interview to go into more detail about his illness and recovery.

    Wachter became a highly followed doctor on Twitter for sharing his own risk gauging and Covid advice during the pandemic, and he has urged people to get vaccinated. He said his Covid “case is a cautionary tale” and warned people to avoid the shower mistake he made.

    “While the instinct to take a shower when you’re sweaty and gross is understandable, stepping into hot water when you’re dehydrated and flu-ish can cause your blood vessels to dilate, leading to a dangerous drop in blood pressure,” Wachter wrote, adding that was exactly what happened to him earlier this week.

    He said he was lucky to have his future son-in-law available to drive him to the UCSF emergency room. He was admitted to the hospital.

    Doctors sent him for two CT scans and later an MRI, due to the extent of his injuries on the front and back of his head, he said.

    He said a head CT scan showed a subdural hematoma, which happens when blood collects between the brain and the skull. A neck fracture appeared in one of his vertebrae in another CT scan.

    Wachter’s MRI didn’t show any additional damage, he said. He added a message of thanks for his colleagues who stitched him back together.

    This is Dr. Robert Wachter that the world is used to seeing in an appearance on CNN in April 2022.

    “Luckily, at my age a few scars don’t bother me much, and I believe my wife likes me for reasons other than my previously seamless brow,” he said.

    After 24 hours in the emergency department, Wachter tweeted that he is home and isolating. He said he’s taking the anti-viral medication Paxlovid to help lessen the severity and duration of the illness, as well as the chance of long Covid.

    As far as future brushes with Covid, Wachter said he doesn’t think he will change his behavior, as long as cases remain low. “I’ll continue being relatively careful, but no more than I’ve been,” he said.

    While he has not treated any Covid patients, Wachter said he wears a KN95 mask in clinical settings. Sometimes he’s removed his mask in non-crowded meetings, he added.

    “I will, however, be more careful about showering or taking a hot bath or hot tub when dehydrated. That’s one important takeaway from this mess,” he said.

    Source link

  • Baltimore investigators searching for suspects in block party mass shooting that killed 2 and injured 28 others | CNN

    Baltimore investigators searching for suspects in block party mass shooting that killed 2 and injured 28 others | CNN



    CNN
     — 

    Investigators in Baltimore are searching for multiple suspects in a mass shooting that turned a beloved annual neighborhood block party into chaos early Sunday, killing two people and injuring 28 others, most of whom were teens, officials said.

    The search for the shooters – investigators believe at least two were involved in the incident – is ongoing, Baltimore Mayor Brandon Scott told CNN Monday, vowing, “We will not rest until we find those who cowardly decided to shoot up this block party and carry out acts of violence which we know will be illegal guns.”

    Officials are combing through “every single lead, every minute, every second of footage, everything that we have to find out who decided to disrupt this peaceful event in this way,” Scott said on “CNN This Morning.”

    The gunfire erupted early Sunday in the south Baltimore neighborhood of Brooklyn, where community members were enjoying a yearly celebration dubbed Brooklyn Day.

    Aaliyah Gonzalez, 18, whose surname police initially spelled ending with an ‘s,’ and Kylis Fagbemi, 20, were fatally shot, the Baltimore Police Department announced.

    The dozens of surviving victims all sustained gunshot wounds, according to acting Police Commissioner Richard Worley. Five of those injured were adults aged 20 or older and the remaining 23 were teenagers ranging in age from 13 to 19, police said.

    Seven of the wounded remain in hospitals, with four in critical condition and three in stable condition, the mayor noted.

    Investigators are scouring the sprawling crime scene – which spans several blocks – for evidence and are poring over hours of surveillance footage, the police commissioner said. Officials have also urged community members to come forward with any relevant information or video footage that may assist in the investigation.

    A reward for information leading to the capture of the suspects has been raised to $28,000, Worley said at a news conference Monday.

    Police began receiving calls reporting the shooting around 12:30 a.m. Sunday, according to Worley.

    As officers arrived on the scene, they found an 18-year-old woman – later identified as Gonzalez – dead, police said. A 20-year-old identified as Fagbemi was transported to a hospital, where he was pronounced dead.

    An ice cream truck was parked directly across from where Gonzalez was shot and killed. The truck’s driver, Keith, who declined to give his last name, told CNN he watched her collapse on the stairs as hundreds of people ran for cover.

    Keith said he told his children to lay down on the floor of the truck and wait for the rounds of shooting to stop.

    “I walked over to [Gonzalez], checked her pulse, straightened her out, tried to start doing CPR but she was already dead,” he said.

    Some who suffered gunshot injuries took shelter inside the ice cream truck. On Monday morning, blood was still on the ground near the truck’s parking spot.

    Keith said he could not see where the gunshots were coming from. He said there were no disruptions at the block party before the shooting started.

    He said his two daughters, 13 and 18 years old, are “fine but extremely stressed out.”

    Investigators have yet to determine a motive in the attack and are still figuring out whether the victims were targeted or indiscriminately shot at, the police commissioner said. As officers canvassed the neighborhood during the day Sunday, K-9 units located additional shell casings that had not been found overnight, he said.

    Staff at MedStar Harbor Hospital were expecting a routine overnight shift when they were met with the arrival of several patients with traumatic gunshot wounds, Dr. Hania Habeeb, associate chair of the emergency department, said at a news conference Monday.

    Habeeb said the hospital received 19 patients within an hour, 14 of whom were teenagers. Many of the patients were minors, brought in by family and loved ones who were “appropriately concerned,” she said.

    “We didn’t know if we were safe. We didn’t know if the shooter or shooters were right outside of our hospital doors,” Habeeb said.

    The hospital went on immediate lockdown to ensure safety while staff performed lifesaving procedures to stabilize the victims. Habeeb added 10 patients were transferred to Baltimore trauma centers.

    The attack marks one of the latest acts of gun violence to thrust an American community into grief as they gather in everyday spaces, including parks, schools, shopping malls and grocery stores.

    “This was a reckless, cowardly act of violence that has taken two lives and altered many, many more,” Scott said. “This tragic incident is another glaring, unfortunate example of the deep issues of violence in Baltimore, in Maryland and this country and particularly gun violence and the access to illegal guns.”

    Just three days into the month, it is one of five mass shootings in July and one of 340 mass shootings in the US in 2023, according to the Gun Violence Archive. The archive, like CNN, defines a mass shooting as one in which four or more people are shot, not including the shooter.

    “These weapons come from Virginia, they come from Texas, they come from Florida, they come from Alabama, they come from everywhere in this country,” Scott said.

    “We have to deal with this issue of guns and the flow of illegal guns into the hands of people who should not have them at the national level,” he added.

    The National Rifle Association sued Maryland Gov. Wes Moore after he signed the Gun Safety Act of 2023 and other gun safety measures into law in May, court documents show.

    Members of the Kingdom Life Church pray at the site of a mass shooting in the Brooklyn Homes neighborhood on July 2, 2023.

    The block party was held as an annual celebration of the Brooklyn neighborhood. Scott called on the public to think of the shooting as if it happened in a rural community. “When it happens in Baltimore, Chicago or DC it doesn’t get that same attention,” he said.

    “These Black American lives, children’s lives, matter just as anyone else,” he added.

    Scott described the Brooklyn neighborhood as a working-class community filled with “immense pride.”

    “It is a neighborhood that has had its troubles, but a neighborhood that has seen some folks in that community really determined to see it be successful and see things turn around,” he added.

    There were “at least a couple hundred people” at the event Saturday, Worley said at Monday’s news conference, describing it as “unpermitted,” emphasizing no organizers had filed paperwork with the city.

    Asked about whether police had been appropriately staffed for the event, Worley said the annual celebration happens on a different Saturday each year. In the past, law enforcement was able to discover the date of the event in advance to prepare resources.

    But this year, police did not learn of the event until the day of, Worley said. “As far as I know, no one notified BPD that Brooklyn Day was happening on July 1st.”

    “Unfortunately, we didn’t get there in time to prevent what happened.”

    Mayor Scott said Sunday his office is mobilizing every available resource to assist with the investigation, including distributing information about community-based services available to residents in the Brooklyn Homes area, which he described as a public housing facility.

    Yvonne Booker, a resident of Brooklyn Homes, told CNN affiliate WBAL she’s lived in the area for three decades and feels the gun violence has reached a breaking point.

    “It’s kind of hard for me. I’m a mother. They need to stop. It’s too much. I’ve been to so many funerals in this community,” Booker said.

    Source link

  • New York governor signs bill to legally protect doctors who prescribe abortion pills for out-of-state patients into law | CNN Politics

    New York governor signs bill to legally protect doctors who prescribe abortion pills for out-of-state patients into law | CNN Politics



    CNN
     — 

    New York Democratic Gov. Kathy Hochul signed a bill into law Friday that legally protects doctors who prescribe and send abortion pills to patients in states where abortion services are outlawed or restricted.

    “We are witnessing a shameful regression of women’s rights in this country as abortion access is restricted in states across the nation,” Hochul said in a news release, adding that the law will ensure that more women will be able to access reproductive health care.

    The measure – passed by the state legislature Tuesday – will block out-of-state litigation, prohibiting prosecution against doctors in New York who provide telehealth services, prescribe medication abortion, or deliver reproductive health care to patients living in states with restrictive abortion laws.

    Telehealth medication abortions have accounted for an increasing share of total US abortions since last year’s Supreme Court ruling that established there is no constitutional right to abortion, CNN previously reported. Prior to the June 2022 ruling, medication abortions provided by virtual-only providers made up 4% of all abortions in April 2022 and 5% in May 2022, according to data from the Society of Family Planning. However, between June and December 2022, the share of such procedure grew from 6 to 11%. And as of 2020, more than half of US abortions were conducted using medication.

    Assemblymember Karines Reyes, a registered nurse who sponsored the bill, said Tuesday she was “proud to sponsor this critical piece of legislation to fully protect abortion providers using telemedicine.”

    Hochul previously signed legislation aimed at expanding reproductive rights. Last month, the governor signed a bill to ensure that every student at a State University of New York (SUNY) or City University of New York (CUNY) college will be able to access medication abortion, along with another bill that allows pharmacists across the state to dispense contraceptives over the counter.

    The governor’s recent moves demonstrate the changing abortion landscape nationwide. As Democratic-led states aim to expand access, states with Republican majorities have enacted widespread restrictions, including near-total bans.

    Last month, North Carolina’s Republican-controlled legislature overrode a veto by its Democratic governor to ban most abortions after 12 weeks.

    Source link

  • Celebrate Juneteenth by promoting Black health, wealth and joy | CNN

    Celebrate Juneteenth by promoting Black health, wealth and joy | CNN



    CNN
     — 

    June 19, 2023 is the third annual observance of Juneteenth. The federal holiday commemorates June 19, 1865, when the enslaved people in Galveston, Texas, learned of their emancipation two years after President Lincoln signed the Emancipation Proclamation.

    Although Juneteenth has recently become more widely recognized, the date has long been a deeply spiritual time of remembrance and celebration for the Black community.

    Across the country, African Americans have rejoiced with fireworks and cookouts, sipping red drinks – a nod to ancestors’ bloodshed and endurance.

    “We know the horrors that we went through,” explained Kleaver Cruz, writer of the forthcoming book “The Black Joy Project” and creator of a digital initiative of the same name. “It’s always concurrent: the joy and the pain. We use one to get through the other.”

    On a particularly joyous note, this June 19, CNN and OWN (both properties of Warner Bros. Discovery) will simulcast Juneteenth: A Global Celebration for Freedom at 8 PM Eastern time. The concert will feature artists across multiple genres including Charlie Wilson, Miguel, Kirk Franklin, Nelly, SWV, Davido, Coi Leray, Jodeci and Mike Phillips. CNN will kick off pre-show coverage at 7 PM Eastern time, highlighting Black advocates, trailblazers, and creators.

    “We get to celebrate our freedoms; we get to celebrate the dismantling of things and lean into what we want in the future,” Cruz said of Juneteenth observance. “We want more of that space and less of the one that harms us.”

    The Black community still struggles with pain and inequity. Impact Your World has gathered ways you can help reject the pathology of racism and thoughtfully celebrate Juneteenth through non-profits that support Black health, wealth, joy, and overall empowerment. You can donate to those charities here.

    For Black Americans, the end of slavery was just the beginning of a 158-year quest for equality. Along the way, the cumulative effect of institutional and systemic racism fomented stark disparities in income, health, education, and opportunity.

    “Those that came before us were physically free but were unable to earn livable wages or receive an education without its share of defeating challenges,” said Marsha Barnes, Founder of The Finance Bar.

    Data collected by the Board of Governors of the Federal Reserve System shows that in the fourth quarter of 2022, the average Black household’s net worth was about one-fourth that of the average White household.

    “Taking the time to address the racial wealth gap highlights many of the roadblocks we as Black Americans currently face,” explained Barnes, a certified financial therapist. She sees the well-documented connection between financial literacy and financial wellness as a key to enhancing wealth in the Black community.

    “We still are at a disadvantage, but it’s important we become comfortable with having to learn while playing the game,” Barnes told CNN.

    HomeFree-USA is a non-profit aiming to close the racial wealth gap by improving financial education, homeownership, and opportunities. Their Center for Financial Advancement (CFA) recruits, trains, and places Historically Black College and University students into internships and careers with mortgage and real estate companies. The goal is to enhance diversity in the financial sector, expose students to credit and money management and help them become savvy consumers and future homeowners.

    The African American Alliance for Homeownership is a non-profit counseling agency that helps families obtain, retain, maintain, and sustain their homes. The organization offers HUD-certified counselors who support first-time homebuyers and foreclosure prevention. The group recently expanded its services to help homeowners with estate plans, resource navigation, home repairs, and energy-efficiency upgrades.

    Former NFL Player Warrick Dunn started Warrick Dunn Charities in 1997 to help single parents buy homes by providing $5,000 down payments and home furnishings.

    “The more I learned, we wanted to get into the business of giving people the potential to break their cycle of poverty,” Dunn explained in a 2021 interview with CNN.

    The non-profit has expanded its priorities to include financial literacy, health and wellness, education attainment, workforce development, and entrepreneurship support.

    The National Urban League is committed to the advancement of African Americans through economic empowerment, equality, and social justice. The organization champions education, job training, workforce development, and civic engagement through community and national initiatives.

    The legacy of racism in America continues to fuel health and healthcare inequities for Black people.

    “We’re seeing diseases that, when I was in medical school, I thought to be diseases that would start to develop in people in their fifties, sixties, and seventies. I’m seeing these diseases sometimes in teenage years,” said Dr. Barbara Joy Jones, an Atlanta-based family medicine physician.

    According to the CDC, five health conditions particularly affect the Black community at higher rates: cardiovascular disease, human immunodeficiency virus (HIV), metabolic syndrome, colon cancer, and mental health conditions.

    “I consider hypertension, Diabetes, and obesity the triad,” said Jones.

    The leading contributor to that triad is what you eat.

    “Diet is 80% of health, and just access to quality food and education about food has been very hard,” Jones explained.

    “When you go back and look at slavery, the foods we had to eat were the last scraps, so through the passing down of culture, you’re eating foods that are not the healthiest because it was simply for survival,” said Jones.

    According to Feeding America, eight of the ten US counties with the highest food insecurity rates are at least 60% Black and one in every four Black American children is affected by hunger.

    Addressing food insecurity, nutrition education, and better food access can make a difference.

    Feeding America runs a network of food banks in those mostly Black hard-hit counties.

    Share Our Strength runs a program called Cooking Matters offering cooking classes, grocery store tours, and digital content to help marginalized families across the country shop and cook with an eye towards health and budget.

    The African American Diabetes Association uses targeted outreach projects to help Black people prevent or delay type 2 diabetes.

    Despite progress over the years, racism continues to impact the mental health of African American people.

    “The stress and microaggressions that happen daily for a person of color in the work environment and everyday life add up, and unmitigated stress can lead to disease,” Jones told CNN.

    The Black Mental Health Alliance and the Trevor Project, provide training and networks of mental health providers specifically supportive of the Black and Black LGBTQ communities.

    In 2019, the CDC found that Black people comprised 41% of the new HIV infections in the US. The Black AIDS Institute was founded in 1999 to mobilize and educate Black Americans about HIV/AIDS treatment and care. The Black AIDS Institute advances research, support groups, and education and runs a clinic catering to BIPOC and underserved communities.

    As recently as the 1990’s, unethical medical research was conducted on Black Americans. The Tuskegee Study is one of the most widely recognized examples of the racist practice that led many Black people to distrust the healthcare system and avoid doctors altogether.

    Beyond investing in cultural sensitivity training and prioritizing preventative care, Jones said, “For anti-doctor people, find someone that looks like you; representation matters.”

    “Half of the getting to know your part of medicine is to know why psychosocial and economically you are where you are, and having a doctor that looks like you can support that.”

    Only about 5.7% of US physicians identify as Black or African American, according to the Association of American Medical Colleges.

    The White Coats Black Doctors Foundation is working to increase diversity in the medical profession, supporting educational preparation to become a doctor and helping offset the costs associated with applying and transitioning to residencies.

    Janice Lloyd of Annapolis, Maryland watches a Juneteenth parade in 2021.

    Black joy has been essential for survival, resistance, and self-development for centuries. But these days, it’s often exploited and misunderstood.

    “I see the ways that Black joy at this moment is being commercialized or co-opted to make it feel like it’s Black people smiling,” lamented Cruz. “It’s much, much deeper than that.”

    Cruz launched the Black Joy Project as a photo essay on social media in 2015 following the deaths of Michael Brown and Sandra Bland to help the Black community process its collective pain.

    “I posted it on Facebook in the stream of consciousness and said, ‘Let us bombard the internet that joy is important too, and as people are sharing these traumatic videos, we have to make space for joy.’ And it was an invitation for anybody else that wanted to do that.”

    Enslaved Black people knew they weren’t free but still hoped their future generations would be. That empowering optimism gave them the will to press forward, no matter the circumstance.

    “This (joy) is just a continuation of those practices,” Cruz said. “Joy is intrinsic. It’s something that can’t be taken from us because it comes within us; it’s always ours to have.”

    Juneteenth is a celebration of freedom, culture, and history, and it’s important to uplift non-profits that positively nourish the arts, music, and all the things that foster Black joy.

    The Robey Theatre Company was founded in 1994 by actors Danny Glover and Ben Guillory to tell the complex stories of the Black experience. The theater showcases and develops up-and-coming actors and playwrights to sustain Black theater.

    The Debbie Allen Dance Academy uses dance, theater, and performance to enrich, inspire and transform students’ lives.

    As some states are moving to block Critical Race Theory and Black history from public education, the Legacy Museum: From Enslavement to Mass Incarceration gives visitors an interactive history lesson on the harsh repercussions of slavery and systemic racism in the US. The immersive exhibition carries visitors through the transatlantic slave trade up to the current mass incarceration of Black people. The museum occupies a site in Montgomery, Alabama where enslaved Black people were historically auctioned off.

    “If we’re being serious about Black joy, that means we’re being serious about Black lives, period,” Cruz concluded.

    Source link

  • At least 9 are shot in a ‘targeted and isolated incident’ in San Francisco’s Mission District, police say | CNN

    At least 9 are shot in a ‘targeted and isolated incident’ in San Francisco’s Mission District, police say | CNN



    CNN
     — 

    At least nine people were shot Friday in what police believe was a “targeted and isolated incident” in San Francisco’s Mission District neighborhood.

    Of the nine initially hospitalized, at least six people are still being treated at Zuckerberg San Francisco General Hospital, the hospital said in a statement to CNN on Sunday.

    One patient remains in critical condition, two are in fair condition, three are in good condition and three have since been released, according to the hospital.

    The shooting happened while “some sort of block party” was ongoing, San Francisco Police Department Officer Eve Laokwansathitaya said during a news conference.

    Police officers were called to the Mission District at 24th and Treat St. around 9 pm local time.

    “When officers arrived on scene they located multiple victims suffering from gunshot wounds,” police said in a statement. “Officers summoned medics to the scene to treat and transport the victims to local area hospitals.”

    Eight of the people wounded are males and one is female, the hospital statement said, with ages ranging from 20 to 34 years old.

    No arrests were immediately reported by authorities.

    The Mission District, better known as The Mission, is a large and diverse neighborhood often known for its historic architecture in the east-central portion of San Francisco.

    Source link

  • Deadly Russian strikes obliterate Dnipro medical facility in central Ukraine | CNN

    Deadly Russian strikes obliterate Dnipro medical facility in central Ukraine | CNN



    CNN
     — 

    At least two people died and dozens more were left injured after Russian forces struck a medical facility in the city of Dnipro on Friday morning, after intense shelling rained over central Ukraine overnight.

    A 69-year-old man was killed while “just passing by when the rocket struck the city,” and the body of another man “was pulled out of the rubble,” said Serhii Lysak, head of the regional military administration.

    CNN geolocated the attack to Dnipropetrovsk City Hospital No. 14 and a veterinary clinic in an industrial district north of the Dnipro river in the central Ukrainian city. The explosions in Dnipro occurred at around 10:30 a.m. local time (3:30 a.m. ET) on Friday, according to CCTV.

    Earlier, the Ukrainian Air Force reported strikes on the Kyiv and Dnipropetrovsk regions from 10 p.m. Thursday night to 5 a.m. on Friday morning.

    The Air Force command reported 17 cruise missiles and 31 “attack drones” and noted that there were strikes in Dnipro and Kharkiv regions using S-300/S-400 missile systems.

    Kyiv also saw some air attacks across the city, according to Serhii Popko, head of the city’s military administration. He added that there were no casualties.

    Firefighters carry a body after the deadly Russian attack in Dnipro, which left at least two people dead.

    Around 31 people were wounded in the bombardment in Dnipro, including eight doctors and two children, according to the head of Dnipro’s regional council Mykola Lukashuk. Among the injured, 16 people were taken to hospitals and the others are receiving outpatient treatment, Lukashuk said in a Telegram post.

    Rescue operations were ongoing on Friday afternoon, with workers searching for survivors under the rubble. Three people were missing following the attack.

    Scenes emerged of fires tearing through one of the buildings of the medical clinic. The video, posted by Lysak, also showed smoke pouring out of windows and a totally collapsed roof.

    A CNN team on the ground saw emergency workers standing on cranes and lowering water hoses over the wreckage, while diggers cleared rubble from the scene.

    Dnipro Mayor Boris Filatov said that a change of shifts for doctors meant fewer people than usual were working at the facility at the time of the attack.

    “The moment the rocket struck there was a change of shifts. Hopefully, there will be no more victims,” Filatov told journalists at the hospital site.

    “It is a miracle that the rocket struck at the very moment of the doctors’ change of shifts.” He added that there were outpatient consultations when the attack took place.

    The clinic is used to treat mentally ill patients and also houses an inpatient treatment facility, according to the mayor.

    The rocket strike also affected a veterinary clinic, where animals undergoing treatment had to be dug out of the rubble, the clinic’s owner said.

    “All the employees are in a state of shock,” clinic owner Dr. Andrii Malyshko told Ukrainian TV. “All the animals were saved from the burning building.”

    The rocket hit the clinic at around 10:30 a.m. local time, which caused a fire. The clinic had numerous dogs and some cats, which were all transferred to clinics nearby, according to Malyshko.

    Kyiv and its Western allies fiercely condemned the Kremlin’s attack on central Ukraine, calling for accountability over the Russian strikes.

    France called them “war crimes” that “cannot go unpunished,” according to a statement from the French Foreign Ministry.

    The missile and drone attacks on Kyiv and the Kharkiv and Dnipropetrovsk regions of Ukraine “once again deliberately targeted civilian sites,” the ministry said, “in flagrant violation of international humanitarian law.”

    Ukrainian President Volodymyr Zelensky said on Friday: “Russian terrorists once again confirm their status of fighters against everything humane and honest.”

    “The shelling aftermath is being eliminated and the victims are being rescued. All necessary services are involved,” he added.

    Source link

  • Investigation launched after death of Navy Seal candidate prompts overhaul of how ‘Hell Week’ training course is monitored | CNN Politics

    Investigation launched after death of Navy Seal candidate prompts overhaul of how ‘Hell Week’ training course is monitored | CNN Politics



    CNN
     — 

    Inadequate medical screening and uninformed medical staff contributed to the death of a Navy SEAL candidate hours after he had completed a brutal part of the training course known as “Hell Week,” a Navy investigation found.

    The investigation prompted an overhaul of how the Navy monitors one of the military’s most brutal and demanding processes.

    It found that the medical support for the Basic Underwater Demolition/Sea Air and Land course was “poorly organized, poorly integrated, and poorly led,” wrote Rear Adm. Peter Garvin, the commander of Naval Education and Training Command. The lack of proper medical care “put candidates at significant risk.”

    Garvin also said that additional accountability measures are necessary in the wake of the failures that contributed to Mullen’s death. According to a Navy official, Garvin recommended considering accountability actions against approximately 10 people. A Navy regional legal service office is reviewing the investigation and will make recommendations about accountability, the official said, after which the command will decide what actions to take.

    The training and selection course is designed to push SEAL candidates to the limit and beyond, creating an environment where only the most qualified and capable will finish, but Garvin said there must still be “effective risk management” to prevent injuries and illness during the high-risk training.

    In February 2022, Navy SEAL candidate Kyle Mullen had just completed Hell Week and underwent a final medical check before he went to rest at his barracks. The investigation found Mullen had suffered respiratory issues during the arduous training, but information about the symptoms was not passed on to the Navy’s medical clinic, leading them to conclude he was not at risk.

    Eight hours later, Mullen was pronounced dead.

    In the hours before his death, Mullen was coughing up an “orange-red fluid” and having trouble breathing, according to the investigation. Even as he repeatedly refused advanced medical care, he appeared to be choking on his words and gasping for air as if he was drowning. But the personnel assigned to check on Mullen and other SEAL candidates, known as watch standers, had no medical or emergency care training.

    Candidates going through Hell Week are normally given a form of penicillin called Bicillin at the start of the course to reduce the risk of bacterial pneumonia. But the investigation found Mullen never received the preventative medicine, likely because there was a shortage at the time.

    In the end, the investigation found “failures across multiple systems” that put candidates at a high risk of serious injury, Garvin wrote.

    “Our effectiveness as the navy’s maritime special operations force necessitates demanding, high-risk training,” said Rear Adm. Keith Davids, the commander of Naval Special Warfare Command, at the conclusion of the investigation. “While rigorous and intensely demanding, our training must be conducted with an unwavering commitment to safety and methodical precision.”

    In October, following a separate investigation that focused specifically on Mullen’s death, the Navy took administrative actions against the former commanding officer of Basic Training Command, Capt. Bradley Geary; the commander of Naval Special Warfare Center, Capt. Brian Drechsler; and senior medical staff under their command. An administrative action is typically in the form of a letter to the service member instructing them on correcting deficient performance.

    Earlier this month, Drechsler was removed from his job two months early.

    Following Mullen’s death, the Navy revamped how it handles medical screening during the training and selection process. The Navy bolstered medical oversight during and after the Hell Week course, requiring medical screenings every 24 hours.

    Candidates now recover from the course in a center located very close to the medical clinic, allowing more thorough observation at a critical time, and the leading watch stander is a qualified high-risk instructor. In addition, a medical officer must be at the Naval Special Warfare Center Medical Department during all of Hell Week to evaluate candidates going through the course.

    The investigation also looked at how to handle the use of performance enhancing drugs (PEDs) during the course. In September, a naval special warfare senior officer who spoke to CNN on condition of anonymity said there is “beyond a reasonable doubt that a significant portion of the candidate population is utilizing a wide range of performance enhancing drugs.”

    A search of Mullen’s car after his death found packages labeled “Big Genes Recombinant Human Growth Hormone” and “Testosterone Cypionate,” a type of steroid. But Mullen was not tested after his death for the PEDs because of the need for a blood and urine sample.

    Other members of Mullen’s class told investigators they felt there was an implicit endorsement of the use of PEDs after an instructor told the candidates, “Don’t use PEDs, it’s cheating, and you don’t need them. And whatever you do, don’t get caught with them in your barracks room.”

    After Mullen’s death, the Navy received from the Defense Department an expanded authority to test Naval Special Warfare Candidates for PEDs. All candidates going through the SEALs course and the Special Warfare Combatant-Craft Crewman course are subject to random drug testing.

    This story has been updated with additional details.

    Source link

  • 8-year-old migrant girl who died in US Border Patrol custody was treated for flu several days before her death, authorities say | CNN

    8-year-old migrant girl who died in US Border Patrol custody was treated for flu several days before her death, authorities say | CNN



    CNN
     — 

    An 8-year-old migrant girl who died in the custody of US immigration authorities last week was treated for flu-like symptoms for several days prior to her death at a Texas hospital, according to authorities.

    The girl, Anadith Danay Reyes Alvarez, a citizen of Panama, died Wednesday in a Harlingen, Texas, hospital, just eight days after her family was taken into custody by US Customs and Border Protection in Brownsville, Texas, the agency said in a news release Sunday. Members of her family, including her parents and two siblings, are all citizens of Honduras, says the news release.

    According to CBP records, Reyes was medically assessed on May 10 and did not complain of any illnesses or injuries at the time. However, her family did report a medical history, including chronic conditions of sickle cell anemia and heart disease, according to the news release.

    It was not until four days later, on May 14, that Reyes’ mother took her to a treatment area after the girl complained of abdominal pain, nasal congestion and a cough, the release says. At the time, Reyes tested positive for Influenza A and was given several medications, including Tamiflu and Zofran. CBP says she was also given acetaminophen and ibuprofen. She had a temperature of 101.8 degrees, according to the release.

    The girl and her family were then taken to the US Border Patrol Station in Harlingen, per agency protocols, CBP said. The Harlingen station is “designated for cases requiring medical isolation for individuals diagnosed with or closely exposed to communicable diseases,” CBP said in the release.

    The girl was again assessed by medical personnel after she and her family arrived in Harlingen on May 14. She was given medication for three days, the agency said.

    CBP said medical records show Reyes’ mother brought her to the Harlingen medical unit three times on Wednesday. During the first visit, the girl had complained of vomiting, was given Zofran and instructed to hydrate and return as needed.

    During the second visit, Reyes complained of stomach pains, according to the release. CBP medical personnel wrote in their records that she was stable and instructed her mother to follow up if needed, the release said.

    Reyes’ mother brought her daughter to the medical unit for the third time around 1:55 p.m. CT, according to the release. She was carrying her daughter, who seemed to be having a seizure and then became unresponsive. Medical personnel gave the girl CPR and called for emergency medical help, CBP said.

    Emergency medical personnel took the girl and her mother to the Valley Baptist Medical Center in Harlingen. Reyes was pronounced dead less than an hour later, at 2:50 p.m. CT, the release said.

    An autopsy was performed on the girl by the Cameron County Medical Examiner’s office Friday but an exact cause and manner of death is still pending, according to the release.

    In a statement released Sunday, CBP acting commissioner Troy Miller said “we are deeply saddened by the tragic death” and announced a series of actions intended to “reinforce existing policies and continue to ensure appropriate care for all medically fragile individuals.”

    The agency has reviewed and will continue reviewing cases of “all known medically fragile individuals” in custody and, along with the agency’s medical services contractor, will review services rendered to in-custody individuals, “especially those who are medically at-risk,” Miller says in the statement.

    “The Department of Homeland Security’s Chief Medical Officer will immediately initiate a review of medical care practices at CBP facilities and ensure the deployment of additional medical personnel as needed,” says Miller.

    He added that CBP would make the results of the investigation public.

    The girl’s parents have been released from immigration custody and will be headed to New York to meet up with family, the Honduran Foreign Ministry previously told CNN.

    Once in New York, the family plans to attend their immigration court hearings and request asylum, according to the ministry.

    The Honduran Foreign Ministry is working to help the Reyes family with the transfer of their daughter’s body to New York, where she will likely be buried, the ministry said.

    Source link

  • FDA advisers vote unanimously in support of over-the-counter birth-control pill | CNN

    FDA advisers vote unanimously in support of over-the-counter birth-control pill | CNN



    CNN
     — 

    Advisers for the US Food and Drug Administration voted unanimously on Wednesday in support of making the birth-control pill Opill available over-the-counter, saying the benefits outweigh the risks.

    Two FDA advisory panels agreed that people would use Opill safely and effectively and said groups such as adolescents and those with limited literacy would be able to take the pill at the same time every day without help from a health care worker.

    The advisers were asked to vote on whether people were likely to use the tablet properly so that the benefits would exceed the risks. Seventeen voted yes. Zero voted no or abstained.

    Opill manufacturer Perrigo hailed the vote as a “groundbreaking” move for women’s health.

    “Perrigo is proud to lead the way in making contraception more accessible to women in the U.S.,” Murray Kessler, Perrigo’s president and CEO, said in a statement. “We are motivated by the millions of people who need easy access to safe and effective contraception.”

    The FDA doesn’t have to follow its advisers’ advice, but it often does. It is expected to decide whether to approve the over-the-counter pill this summer.

    If it’s approved, this will be the first birth-control pill available over the counter in the United States. Opill is a “mini-pill” that uses only the hormone progestin.

    At Wednesday’s meeting, Dr. Margery Gass of the University of Cincinnati College of Medicine thanked the FDA for its consideration of switching Opill to an over-the-counter product.

    “I think this represents a landmark in our history of women’s health. Unwanted pregnancies can really derail a woman’s life, and especially an adolescent’s life,” she said.

    The FDA has faced pressure to allow Opill to go over-the-counter from lawmakers as well as health care providers.

    Unwanted pregnancies are a public health issue in the US, where almost half of all pregnancies are unintended, and rates are especially high among lower-income women, Black women and those who haven’t completed high school.

    In March 2022, 59 members of Congress wrote a letter to FDA Commissioner Dr. Robert Califf about OTC contraception.

    “This is a critical issue for reproductive health, rights, and justice. Despite decades of proven safety and effectiveness, people still face immense barriers to getting birth control due to systemic inequities in our healthcare system,” the lawmakers wrote.

    A recent study showed that it’s become harder for women to access reproductive health care services more broadly – such as routine screenings and birth control – in recent years.

    About 45% of women experienced at least one barrier to reproductive health care services in 2021, up 10% from 2017. Nearly 19% reported at least three barriers in 2021, up from 16% in 2017.

    Increasing reproductive access for women and adolescents was a resounding theme among the FDA advisers.

    “We can take this opportunity to increase access, reduce disparities and, most importantly, increase the reproductive autonomy of the women of our nation,” said Dr. Jolie Haun of the James A. Haley Veterans’ Hospital and the University of Utah.

    Dr. Karen Murray, deputy director of the FDA’s Office of Nonprescription Drugs, said the agency understands the importance of “increased access to effective contraception” but hinted that the FDA would need more data from the manufacturer.

    Some of the advisers and FDA scientists expressed concern that some of Perrigo’s data was unreliable due to overreporting of “improbable dosing.”

    Murray said the lack of sufficient information from the study poses challenges for approval.

    “It would have been a much easier time for the agency if the applicant had submitted a development program and an actual use study that was very easy to interpret and did not have so many challenges. But that was not what happened for us. And so the FDA has been put in a very difficult position of trying to determine whether it is likely that women will use this product safely and effectively in the nonprescription setting,” she said. “But I wanted to again emphasize that FDA does realize how very important women’s health is and how important it is to try to increase access to effective contraception for US women.”

    Ultimately, the advisers said, they don’t want further studies of Opill to delay the availability of the product in an over-the-counter setting.

    “I just wanted to say that the improbable dosing issue is important, and I don’t think it’s been adequately addressed and certainly leads to some uncertainty in the findings. But despite this, I would not recommend another actual use study this time, and I think we can make a decision on the totality of the evidence,” said Kate Curtis of the US Centers for Disease Control and Prevention.

    Curtis said she voted yes because “Opill has the potential to have a huge positive public health impact.”

    Earlier in the discussion, Dr. Leslie Walker-Harding of the University of Washington and Seattle Children’s Hospital said the pill is just as safe as many other medications available on store shelves.

    “The safety profile is so good that we would need to take every other medicine off the market like Benadryl, ibuprofen, Tylenol, which causes deaths and people can get any amount of that without any oversight. And this is extremely safe, much safer than all three of those medications, and incorrect use still doesn’t appear to have problematic issues,” she said.

    Dr. Katalin Roth of the George Washington University School of Medicine and Health Sciences also emphasized the safety of the pill over the 50 years it has been approved as a prescription drug in the US.

    “The risks to women of an unintended pregnancy are much greater than any of the things we were discussing as risks of putting this pill out out over-the-counter,” she said. “The history of women’s contraception is a struggle for women’s control over their reproduction, and we need to trust women.”

    Source link