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What a Kamala Harris presidency could mean for health care

July 22, 2024
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Morning Rounds Writer and Podcast Producer
Last week ended with a ton of news. If you're lucky, you might have been able to step away for the weekend to enjoy what some are calling "mid-July, already?!" But now it's Monday, President Biden has dropped out of the presidential race, and our DC team (sharp, unmatched, icons) has the latest on what it means for health care policy.

politics (Dems)

Biden dropped out. What does that mean for the Dems' health care policy this election? 

US President Joe Biden stares firmly from behind at Vice President Kamala Harris as she speaks at a podium, gesturing with an open palm, in front of a sign that reads "BIDEN HARRIS" — politics coverage from STATAndrew Harnik/Getty Images

President Biden has officially ended his bid for a second term in the White House and endorsed Vice President Kamala Harris to take his place, he announced yesterday. STAT's DC team reports that while Harris shares similar views as Biden on many issues, she stands left of the president on health care. 

Harris has positioned herself as tougher on the industry by endorsing a transition to Medicare for All (though she still envisioned some sort of role for private plans) and calling for more aggressive drug pricing policies than Biden has been willing to employ. But her strongest health care issue by far is her advocacy for reproductive rights following the fall of Roe v. Wade. She was the first vice president to visit an abortion provider. Unlike Biden, who earlier in his political career held anti-abortion views, Harris has been consistent in her support of access to abortions. 

Read more from STAT's Rachel Cohrs Zhang and Sarah Owermohle on Harris's health care positions, and check out their story on what reproductive rights advocates and others in health and medicine think about Harris. And don't forget — she'll only become the official nominee if the party backs her at the convention next month. Read more from STAT's John Wilkerson and Rachel about the other potential nominees.


politics (GOP)

Trump campaign provides details on his ear wound  after rallying the base on health care at the RNC

Former President Donald Trump required no stitches after a gunshot grazed his ear at a campaign rally July 13, his former White House doctor said in a memo released Saturday by Trump's campaign. The bullet passed less than a quarter inch from the former president's head, causing a two-centimeter-wide wound and "significant bleeding, followed by marked swelling of the entire upper ear," Rep. Ronny Jackson (R-Texas) said in the letter. But "given the broad and blunt nature of the wound itself, no sutures were required," Jackson wrote.

Experts in trauma medicine told STAT earlier last week that the ear was likely to heal and fill in without stitches. The update comes after a week of public appearances at the RNC's campaign convention, where Trump appeared with a large bandage on his right ear and told attendees that the bullet came perilously close to killing him. 

On Thursday night, Trump gave a 90-minute acceptance speech for the Republican nomination to the presidency. While the vast majority of his hour-and-a-half speech rallied convention-goers on the economy, border control, and foreign relations, the former president hit on some health care issues, such as Right to Try legislation, that have polled well with voters even if they have seen little impact so far.

Read more in two stories from STAT's Sarah Owermohle on how the wound is healing and what health care issues Trump did and didn't touch in his nomination acceptance speech last week.


health tech

Health systems scramble after global outages

A global outage to Microsoft systems disrupted care at health systems across the country Friday, STAT's health tech team reports. Hospital networks including Mass General Brigham canceled all non-urgent appointments and surgeries. Others, like Cincinnati Children's, were able to keep a regular schedule, but warned about delays. 

The issue seemingly stemmed from a software update by the cybersecurity firm Crowdstrike, which then disabled computers running Microsoft Windows. While the use of Microsoft machines and software is extensive in health care, some systems, like Johns Hopkins Medicine, were not affected.

Studies show that patient outcomes during cyberattacks are worse — and while this outage isn't a hack, it still cripples many of the same systems. Read more on the latest.


medicine

Prior authorization hurts patient care: Survey

Seventy-eight percent of physicians say that the prior authorization process "often or sometimes" leads their patients to abandon treatment, according to an AMA survey of 1,000 practicing physicians. Prior authorization requires clinicians to get approval from an insurer to pay for a medication or service before actually providing it.

The vast majority of physicians surveyed (94%) responded that prior authorization sometimes, often, or always delays patients trying to access necessary care. Almost 20% said that prior authorization has resulted in a serious adverse event that hospitalized someone. 

The stakes are high and insurers have a lot of power, which is why clinicians were outraged last summer when UnitedHealthcare attempted to instate a prior authorization policy for colonoscopies. Earlier this year, the Biden administration finalized a rule forcing insurance companies to give specific reasons for denying coverage.



transplants

MGH lab wants to make more hearts eligible for transplant

A pig heart is seen hooked up to the Ex Vivo system, also know as the "heart in a box" system, which provides organ perfusion, at Massachusetts General Hospital, on June 27, 2024, in Boston, Massachusetts. The system oxygenates, warms, and pumps blood through the heart to re-animate and keep it alive and viable for transplant.

Kayana Szymczak for STAT 

There are two holy grails in solid organ transplantation, says surgeon Dominic Emerson. First: Finding a way for transplanted organs to evade rejection. Second: Figuring out how to sustain organs outside of donors and recipients for longer periods of time, and how to rehabilitate them. 

At a lab in Boston, researchers are chilling hearts in pursuit of the latter goal. A Mass General Hospital team is working to improve a technique known as organ perfusion — taking an organ that has been kept cold for several hours and reviving it, maintaining the organ outside of the body in a box, and pumping it with blood to keep the tissues alive. Typically, hearts can't be kept on ice for much more than four hours before the cold wrecks it. But after about a year and a half of work, the MGH team has used their new technique on 57 pig hearts and 11 human hearts that weren't fit for transplantation. They were even able to reanimate a human heart for six hours, even though it had already been on ice for five to six. 

Read more on the ambitious science and the team behind it from STAT's Debbie Balthazar.


h5n1 bird flu

Bird flu Snapshot: Virus that infected 6 people closely related to the one in cows

Public health experts who've been following the surprising spillover of bird flu into America's dairy cattle herds now have all eyes on Colorado, waiting to see if a cluster of human cases there might balloon into something bigger. On July 14, Colorado officials announced that five workers involved in the culling of 1.8 million chickens at a large H5N1-infected egg farm in Weld County had tested positive for the virus. On Friday, the CDC confirmed a sixth case of bird flu among the workers.

The six Colorado cases were all mild, but it's the first time multiple human cases have been reported on a single farm in the U.S. Read more from STAT's Megan Molteni on what questions this raises about the virus and how it spreads.


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What we're reading

  • FDA once again pushes back proposal to ban cancer-linked formaldehyde in hair relaxers, NBC News
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  • Skill issues, The Drift
  • The newest tool to prevent STIs is not available to everyone, STAT
  • A California medical group treats only homeless patients — and makes money doing it, KFF Health News

Thanks for reading! More tomorrow,


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