Breaking News

Where Walgreens won't dispense abortion pills, the next genome summit, & another way to privatize Medicare

March 3, 2023
Reporter, Morning Rounds Writer
Good morning. It was five years ago that the world heard about the first "CRISPR babies." Now it's time for the next genome summit.

reproductive health

Walgreens won't dispense abortion pills in some states where they're legal

Access to abortion in the U.S. may narrow even further after a decision by Walgreens not to dispense abortion pills in several states where it remains legal, Politico reports. The move follows letters from Republican attorneys general to Walgreens, CVS, Albertsons, Rite Aid, Costco, Walmart, and Kroger threatening legal action if they begin distributing the drugs. Walgreens, the second-largest pharmacy chain, won't sell abortion pills in those states, it said in response to those officials, even where abortion and the medications remain legal.

That list includes Alaska, Iowa, Kansas, and Montana. In Kansas, a law that patients obtain the pills only directly from a physician, is blocked in court. In January the Biden administration allowed retail pharmacies to dispense the pills. States and anti-abortion groups are challenging in court an FDA analysis that found the pills were safe and effective to use without a doctor's visit.


SCIENCE

On the eve of genome summit, questions linger about the last one's scandal

A pandemic-delayed international summit on genome editing will finally kick off in London next week, but the focus won't be entirely on the technology to easily excise, alter, or replace specific sections of DNA. Instead, there will be a shadow of the last summit hanging over the proceedings, a reminder of when He Jiankui shocked the world by saying he'd used CRISPR to create the first gene-edited children. The summit will start with a session on Chinese regulators' response to the scandal.

"Five years ago, at the last Summit, he misled the world about the health of the babies who were born during his experiment," anthropologist Eben Kirksey told STAT's Megan Molteni. "The scientific community needs to keep pushing Dr. He to reveal the full truthful details about his 2018 experiment." Read more about what else is on the agenda, including base editing and prime editing, embryo editing, and treatments for sickle cell disease.


health inequity

Study finds state-by-state disparity for triple-negative breast cancer

Triple-negative breast cancer is known to arise more often in Black women than in other racial or ethnic populations. A new study in JAMA Oncology reveals geographical variations in this disparity. An analysis of cases from 2015 through 2019 by state concludes that Black women in Delaware, Missouri, Louisiana, and Mississippi had this type of cancer at rates more than twice as high as white women, while the disparity was significantly narrower in states like Colorado and Minnesota. 

This type of cancer accounts for 10% to 20% of breast cancer diagnoses, but has fewer treatments and a worse prognosis. Research shows breastfeeding is protective and suggests physical activity, along with high fruit and vegetable consumption, might reduce risk, while alcohol consumption and premenopausal obesity increase it. The differences by state point to social, environmental, and structural determinants of health, the researchers say.



Closer Look

Looks like a new wave of privatization is coming to Medicare 

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If you follow Medicare news — and we do — you've likely heard a lot recently about Medicare Advantage plans, which are private versions of the public health insurance program. Nearly half of the people on Medicare are now enrolled in the system run by health insurers, which was recently hammered for excessive overpayments forked over by the U.S. government. Medicare Advantage plans cost more, but private insurers say they offer benefits unavailable in traditional Medicare, such as dental and vision coverage.

Watch for a new wave of privatization, STAT's John Wilkerson says. A new kind of accountable care organization, called Realizing Equity, Access, and Community Health, looks like Medicare Advantage, but patients remain in Medicare and can go to any provider. Read more about the debate over letting private insurance companies run Medicare.


public health 

Mpox deaths in current global outbreak reach 100

Deaths from the current outbreak of mpox have hit 100 around the world, the WHO has documented, and as STAT's Helen Branswell tweeted, the Americas are leading the way. Yesterday a CDC report zoomed in on mpox cases among people in San Francisco experiencing homelessness. Its survey of just over 200 people found three possible undetected mpox infections. These participants, who were unvaccinated, did not report activities, including sexual contact, that could put them at higher risk for getting mpox.

That highlights the need to make community outreach and prevention interventions, including vaccination, more accessible, the researchers write. In the second CDC report released yesterday, researchers concede that while medical countermeasures effective against orthopoxviruses have been used to treat severe mpox, "data gaps remain in the effective use of these treatments."


abortion

Opinion: Adoption is not a simple or easy alternative to abortion

The Supreme Court's decision to overturn Roe v. Wade has pitted supporters of reproductive rights against anti-abortion activists, galvanizing both movements. There's another group of people caught in the crossfire: adoptees. "The Supreme Court offered up adoption as a clean solution to a messy problem. It isn't," Laura Goetz, a Wisconsin-based social worker and adoptee, writes in a STAT First Opinion.

She refers to a footnote in the Supreme Court's decision that mentions the dwindling "domestic supply of infants relinquished at birth or within the first month of life and available to be adopted." That demeans children, understates their struggles, and underplays the multi-billion dollar business of adoption, she says. "Adoption should not be seen as a default solution in the battle for reproductive rights," Goetz argues. Read more.


by the numbers

 

march 2 cases covid-chart-export - 2023-03-02T170423.524

march 2 deaths covid-chart-export - 2023-03-02T170448.525

 


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What we're reading

  • When Michelin tells chefs they've lost stars, mental health is top of mind, Washington Post
  • Premature births fell during some Covid lockdowns, New York Times
  • Presbyterian and UnityPoint propose latest cross-market hospital merger, STAT
  • Baby's death tied to contaminated breast pump, CDC says, Associated Press

  • Opinion: How physician wellness programs keep doctors captive, STAT

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