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Tag: Medication

  • Biden pushing lower prescription drug costs in midterm press

    Biden pushing lower prescription drug costs in midterm press

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    IRVINE, California — President Joe Biden is highlighting his administration’s efforts to lower prescription drug costs on Friday as part of his three-state Western tour this week, as he confronts a sobering inflation report in the waning weeks before midterm elections.

    Biden visited a community college in Irvine, California, to meet with older adults and tout his administration’s efforts to reduce inflation and drive down costs. The trip comes on the heels of an announcement that millions of Social Security recipients will get an 8.7% boost in their benefits in 2023, a historic increase but a gain that will be eaten up in part by the rising cost of everyday living.

    Biden said that still, seniors “are going to get ahead of inflation next year. For the first time in 10 years Social Security checks are going to go up while Medicare premiums go down.”

    “It’s a big deal for seniors,” he added.

    Despite the president’s efforts, inflation is rising, and Republicans are capitalizing on higher prices, seeing openings in California and elsewhere to potentially pick up U.S. House seats. The president will also travel to Oregon before heading back East as the usually Democratic-leaning governor’s race closes with an independent splitting votes.

    Consumer prices, excluding volatile food and energy costs, jumped 6.6% in September from a year ago — the fastest pace in four decades. And on a month-to-month basis, such “core” prices soared 0.6% for a second straight time, defying expectations for a slowdown and signaling that the Fed’s multiple rate hikes have yet to ease inflation pressures. Core prices typically provide a clearer picture of underlying price trends.

    Biden acknowledged the issue on Thursday, saying that “Americans are squeezed by the cost of living. It’s been true for years, and folks don’t need a report to tell them they’re being squeezed.”

    He also returned to a metaphor he used often during his first year in office, talking about issues that Americans talk about around the “kitchen table,” touting his administration’s efforts to lower costs even as inflation rises.

    “From prescription drugs, to health insurance, to energy bills, and so much more,” he said. “We’re standing up for working people and their right to get a raise and get a better job.”

    Biden also signed an executive order that will direct the U.S. Department of Health and Human Services to look for additional ways to lower drug costs.

    The Inflation Reduction Act signed into law earlier this year already requires that Medicare begin bargaining over the price of a handful of drugs starting next year. The agency is fine-tuning how that process will work, hiring new employees for a drug pricing division and is expected to pick the first 10 drugs that will be negotiated in 2023.

    The new law will lower drug costs for the 49 million people on Medicare in a number of other ways that have been less controversial. It makes vaccines free, caps monthly out-of-pocket insulin costs at $35, and limits out-of-pocket drug expenses at $2,000 starting in 2025.

    “We took on big pharma and we beat them, finally,” Biden said, but called on Congress to go even further to bring insulin prices down for all Americans, not just those on Medicare.

    “Imagine being a parent, imagine not having enough insurance, not being able to afford it, and looking at your son and daughter and know if they can’t get the insulin they could be permanently scarred” and die, Biden added.

    Any additional proposals to curb the cost of drug prices are likely to be met with resistance.

    That newly-acquired power to negotiate drug prices is controversial, with the powerful pharmaceutical industry lobbying against the rule and considering legal actions to prevent its implementation. Republicans have already proposed legislation that would strip Medicare’s negotiation ability before the haggling has even begun.

    Starting next year, drug companies will also have to pay penalties to Medicare if they raise the cost of their products at a rate that outpaces inflation.

    Biden also used the opportunity to provide a boost to Democratic Rep. Katie Porter, who is facing a close re-election fight this year. He praised the lawmaker as a “fighter,” adding that, “No drug company wants to testify in congress before Katie.”

    Biden added, “she is incredible at what she does.”

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    Associated Press writers Zeke Miller and Amanda Seitz contributed to this report from Washington.

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  • Heart Failure: What I Wish I’d Known

    Heart Failure: What I Wish I’d Known

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    By Kim Lewis, as told to Stephanie Watson

    As a single mom, I did a lot of juggling. I had an active son and a job at a health and sports facility. I was busy. Making time for doctor appointments and taking care of myself weren’t high on my list. I learned the hard way how important it is to be proactive about my own health.

    Just over 20 years ago, when I was 32, I got a cough that wouldn’t go away. I was having so much trouble breathing that I had to sleep upright in a recliner to get enough air into my lungs.

    I kept going back to my doctor and telling him the cough wasn’t improving and I couldn’t breathe. He diagnosed me with all kinds of things — pneumonia, walking pneumonia, bronchitis. Finally, after the third or fourth visit, I told my doctor, “I think I need to see a lung specialist.”

    The lung specialist immediately sent me to a hospital, where I fell into a coma. When I came out of it 3 days later, my doctors told me that I had inflammation of my heart muscle called myocarditis, which was caused by a virus. I was in heart failure.

    A Scary Prognosis

    The doctors told me I had 5 years to live. My son was 12 years old at the time. That meant I wouldn’t get to see him graduate from high school. It was horrifying to think about. He’s my whole world.

    My son was my baby boy, but he had to grow up quickly. I was so sick that I needed him to take care of me. By the time he was 15, he had to drive me to the hospital if I got sick in the middle of the night. If my port came out, he would call the doctor and say, “Tell me what to do.” My heart failure put a lot of pressure on him.

    Turning My Health Around

    I knew I had to make drastic changes if I was going to get more time with my son. I started eating healthy. There was no more going to fast food windows for breakfast, lunch, or dinner. I was sitting down to heart-healthy meals. Instead of keeping snack cakes and candy bars on my countertop, I have bananas, apples, and oranges. I stock my fridge with bottles of water, not soda.

    Exercise also became a priority. Rather than watching TV in the evening, I go for a walk. I teach a water fitness class 3 days a week and I play with my grandchildren to stay active. I make sure that I exercise and see my doctors. And I take a guideline-recommended heart failure treatment to help my heart pump blood more effectively.

    I have these really amazing doctors who monitor me closely and take good care of me. They say I’m nothing short of a miracle. They don’t have an explanation for how much I’m able to do, but they think it’s a combination of healthy living, good medication, and weight loss.

    What I Would Have Done Differently

    If I could talk to my former self, I would tell her that she needs to take better care of her body. I can look back now and say I probably should have gone to the doctor more often. I should have been more physically active. And I should have had a salad with my slice of pizza instead of eating three slices of pizza.

    I also should have asked for a second opinion when my doctor wrote off my symptoms. Had the doctors caught my heart failure sooner, I might not have had permanent damage. There’s a fine line between trusting your doctor and trusting your gut. If you’re not comfortable with what your doctor tells you, it’s OK to get a second opinion.

    If I had it do over again, I definitely would have prioritized my health. I’ve met a lot of other heart failure survivors who also put their health on the back burner while they took care of everything else. I should have put my health on the front burner and taken care of me.

    A New Outlook on Life

    Coming so close to death made me appreciate life more. I appreciate the holidays, dinner with friends, sunrises and sunsets, and the sound of rain. I appreciate family gatherings. I have a very large family here in Tennessee. We get together about four times a year. I’m tickled every time I get to see them.

    I feel like life is more precious now. I know that I was given a second chance. After being told that I had 5 years to live, I’ve made it more than 20 years. Every day is a gift.

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  • Nobel win for Swede who unlocked secrets of Neanderthal DNA

    Nobel win for Swede who unlocked secrets of Neanderthal DNA

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    STOCKHOLM — Swedish scientist Svante Paabo won the Nobel Prize in medicine Monday for his discoveries on human evolution that provided key insights into our immune system and what makes us unique compared with our extinct cousins, the award’s panel said.

    Paabo spearheaded the development of new techniques that allowed researchers to compare the genome of modern humans and that of other hominins — the Neanderthals and Denisovans.

    While Neanderthal bones were first discovered in the mid-19th century, only by unlocking their DNA — often referred to as the code of life — have scientists been able to fully understand the links between species.

    This included the time when modern humans and Neanderthals diverged as a species, determined to be around 800,000 years ago, said Anna Wedell, chair of the Nobel Committee.

    “Paabo and his team also surprisingly found that gene flow had occurred from Neanderthals to Homo sapiens, demonstrating that they had children together during periods of co-existence,” she said.

    This transfer of genes between hominin species affects how the immune system of modern humans reacts to infections, such as the coronavirus. People outside Africa have 1-2% of Neanderthal genes.

    Paabo and his team also managed to extract DNA from a tiny finger bone found in a cave in Siberia, leading to the recognition of a new species of ancient humans they called Denisovans.

    Wedell described this as “a sensational discovery” that subsequently showed Neanderthals and Denisovan to be sister groups which split from each other around 600,000 years ago. Denisovan genes have been found in up to 6% of modern humans in Asia and Southeast Asia, indicating that interbreeding occurred there too.

    “By mixing with them after migrating out of Africa, homo sapiens picked up sequences that improved their chances to survive in their new environments,” said Wedell. For example, Tibetans share a gene with Denisovans that helps them adapt to the high altitude.

    “Svante Pääbo has discovered the genetic make up of our closest relatives, the Neanderthals and the Denison hominins,” Nils-Göran Larsson, a Nobel Assembly member, told the Associated Press after the announcement.

    “And the small differences between these extinct human forms and us as humans today will provide important insight into our body functions and how our brain has developed.”

    Paabo said he was surprised to learn of his win on Monday.

    “So I was just gulping down the last cup of tea to go and pick up my daughter at her nanny where she has had an overnight stay, and then I got this call from Sweden and I of course thought it had something to do with our little summer house in Sweden. I thought, ‘Oh the lawn mower’s broken down or something,’” he said in an interview posted on the official home page of the Nobel Prizes.

    He mused about what would have happened if Neanderthals had survived another 40,000 years. “Would we see even worse racism against Neanderthals, because they were really in some sense different from us? Or would we actually see our place in the living world quite in a different way when we would have other forms of humans there that are very like us but still different,” he said.

    Paabo, 67, performed his prizewinning studies in Germany at the University of Munich and at the Max Planck Institute for Evolutionary Anthropology in Leipzig. He is the son of Sune Bergstrom, who won the Nobel prize in medicine in 1982. According to the Nobel Foundation, it’s the eighth time that the son or daughter of a Nobel laureate also won a Nobel Prize.

    Scientists in the field lauded the Nobel Committee’s choice this year.

    David Reich, a geneticist at Harvard Medical School, said he was thrilled the group honored the field of ancient DNA, which he worried might “fall between the cracks.”

    By recognizing that DNA can be preserved for tens of thousands of years — and developing ways to extract it — Paabo and his team created a completely new way to answer questions about our past, Reich said. That work was the basis for an “explosive growth” of ancient DNA studies in recent decades.

    “It’s totally reconfigured our understanding of human variation and human history,” Reich said.

    Dr. Eric Green, director of the National Human Genome Research Institute, called it “a great day for genomics,” a relatively young field first named in 1987.

    The Human Genome project, which ran from 1990-2003, “got us the first sequence of the human genome, and we’ve improved that sequence ever since,” Green said. Since then, scientists developed new cheaper, extremely sensitive methods for sequencing DNA.

    When you sequence DNA from a fossil millions of years old, you only have “vanishingly small amounts” of DNA, Green said. Among Paabo’s innovations was figuring out the laboratory methods for extracting and preserving these tiny amounts of DNA. He was then able to lay pieces of the Neanderthal genome sequence against the human sequencing coming out of the Human Genome Project.

    Paabo’s team published the first draft of a Neanderthal genome in 2009. The team sequenced more than 60% of the full genome from a small sample of bone, after contending with decay and contamination from bacteria.

    “We should always be proud of the fact that we sequenced our genome. But the idea that we can go back in time and sequence the genome that doesn’t live anymore and something that’s a direct relative of humans is truly remarkable,” Green said.

    Katerina Harvati-Papatheodorou, professor of paleoanthropology at the University of Tübingen in Germany, said the award also underscores the importance of understanding humanity’s evolutionary heritage to gain insights about human health today.

    “The most recent example is the finding that genes inherited from our Neanderthal relatives … can have implications for one’s susceptibility to COVID infections,” she said in an email to the AP.

    The medicine prize kicked off a week of Nobel Prize announcements. It continues Tuesday with the physics prize, with chemistry on Wednesday and literature on Thursday. The 2022 Nobel Peace Prize will be announced on Friday and the economics award on Oct. 10.

    Last year’s medicine recipients were David Julius and Ardem Patapoutian for their discoveries into how the human body perceives temperature and touch.

    The prizes carry a cash award of 10 million Swedish kronor (nearly $900,000) and will be handed out on Dec. 10. The money comes from a bequest left by the prize’s creator, Swedish inventor Alfred Nobel, who died in 1895.

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    Jordans reported from Berlin. Ungar reported from Louisville, Kentucky. Maddie Burakoff contributed from New York.

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    Follow all AP stories about the Nobel Prizes at https://apnews.com/hub/nobel-prizes

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  • Opinion: Are Kids Being Set Up for Medical Abuse?

    Opinion: Are Kids Being Set Up for Medical Abuse?

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    The recent news stories about Dr. Larry Nassar allegedly molesting as many as 125 young girls demonstrate that that we can’t always trust our clinicians. Yet, we live in a society where we too often hear, “No medical professionals wake up in the morning wanting to harm their patients.”

    Child abuse by medical professionals is not common, thank goodness, but it does happen. That’s just one reason why Pulse Center for Patient Safety Education & Advocacy (CPSEA) goes into high schools and encourages young people to open up about their experiences and talk with each other about their patient/clinician relationships. 

    “This should be a relationship of trust where a young person can be treated with respect and dignity. . .”

    Ilene Corina, President, PULSE Center for Patient Safety Education & Advocacy

    By high school age, children should be prepared to visit their doctor alone. They need to share information that they may not want their parents or another adult to hear. This should be a relationship of trust where a young person can be treated with respect and dignity, can ask hard questions and disclose the most difficult concerns:  depression, sex, drugs etc.

    “I had an early encounter with t­wo sisters who called their doctor ‘creepy’ during a teen discussion about medical care and preparing to see their doctor,” explains Ilene Corina, a patient safety advocate and educator for Pulse CPSEA. “This experience disclosed problems in the relationship so I started teaching patient safety to young people, with the support and guidance of qualified medical professionals.” 

    Other topics Pulse CPSEA addresses with classes as early as middle school are preparing for the doctor’s visit with questions; appropriately and fully explaining symptoms for the best diagnosis; and medication safety. The presentations are fun and interactive and leave classes recognizing the importance of becoming “Informed and Involved” patients.

    To learn more about Pulse CPSEA and its school programs contact Ilene Corina (516) 579-4711 or e-mail icorina@pulsecenterforpatientsafety.org

    Related stories:

    http://abcnews.go.com/US/molestation-victims-coach-lashes-olympic-doctor-nassar-court/story?id=52404442 

    http://www.norwalkreflector.com/Health-Care/2016/12/29/Doctor-accused-of-violently-molesting-raping-1-200-children-recorded-abuse

    http://www.nytimes.com/2008/08/06/us/06pediatrician.html

    Source: Pulse Center for Patient Safety Education & Advocacy

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