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Circuit Court of Appeals issued an "administrative stay" of the March 30 ruling issued by U.S. District Judge Reed O'Connor of Texas. Administration lawyers said in court filings that O'Connor's decision would affect preventive care for 150 million people. In his March ruling, O'Conner blocked only the requirement that most insurers cover a range of preventive care. The appeal is in the early stages and the appeals court has not yet set a date for arguments. O'Connor ruled that enforcing the recommendations violated constitutional language on how government officials can be appointed.
The NewsA federal appeals court on Monday temporarily blocked a lower court decision that overturned the Affordable Care Act’s requirement that all health plans fully cover certain preventive health services. The Justice Department had appealed the decision, and the appeals court’s stay will stand while the appeals process plays out. Why It Matters: Preventive health services are popular. While the case is under review, full coverage for preventive services will be legally required. For now, employers will still be required to provide no-cost coverage for preventive services.
Breast cancer is the second-leading cause of women’s cancer death in the U.S. Photo: Torin Halsey/Times Record News/Associated PressWomen as young as 40 should get checked for breast cancer every two years, a government-backed panel of experts recommended, lowering the starting age by a decade but stopping short of the annual screening some doctors recommend. Women 40 to 74 should get screened every other year, the United States Preventive Services Task Force said on Tuesday. It previously recommended that women in their 40s decide when to start screening in consultation with doctors. The task force said its draft guidance could save about 20% more lives than its previous recommendation.
Breast cancer is the second-leading cause of women’s cancer death in the U.S. Photo: Torin Halsey/Times Record News/Associated PressWomen as young as 40 should get checked for breast cancer every two years, a government-backed panel of experts recommended, lowering the starting age by a decade but stopping short of the annual screening some doctors recommend. Women 40 to 74 should get screened every other year, the United States Preventive Services Task Force said on Tuesday. It previously recommended that women in their 40s decide when to start screening in consultation with doctors. The task force said its draft guidance could save about 20% more lives than its previous recommendation.
Breast cancer screenings typically involve a mammogram, which is an X-ray of the breast. It does not apply to people at high risk of breast cancer, including those who have a family history of the disease. The rate of breast cancer among women ages 40 to 49 increased by 2% each year on average from 2015 to 2019, according to the National Cancer Institute. The panel said the new guidance also aims to ease the disparities in breast cancer death rates between Black women and white women. Other medical groups, including the American College of Radiology and the American Cancer Society, already recommend annual breast cancer screenings before age 50.
New Mammogram Advice: What to Know
  + stars: | 2023-05-09 | by ( Roni Caryn Rabin | ) www.nytimes.com   time to read: +1 min
The U.S. Preventive Services Task Force, a panel of experts that issues guidelines about preventive care, has recommended all women start routine breast cancer screening at 40, instead of at 50, the previous recommendation. The panel continues to advise spacing the screenings at two-year intervals, although some other medical organizations endorse annual mammograms. The advice applies to all “cisgender women and other people assigned female at birth” who are at average risk for breast cancer and do not have any troubling symptoms that might indicate breast cancer. This group includes women with dense breast tissue and a family history of breast cancer. The recommendation does not apply to anyone who has already had breast cancer, has genetic mutations that increase breast cancer risk, has received high-dose radiation to the chest, or has had breast lesions identified in previous biopsies.
CNN —A new study on breast cancer deaths raises questions around whether Black women should screen at earlier ages. Even though Black women have a 4% lower incidence rate of breast cancer than White women, they have a 40% higher breast cancer death rate. “When the breast cancer mortality rate for Black women in their 40s is 27 deaths per 100,000 person-years, this means 27 out of every 100,000 Black women aged 40-49 in the US die of breast cancer during one year of follow-up. They also wrote that health policy makers should pursue equity, not just equality, when it comes to breast cancer screening as a tool to help reduce breast cancer death rates. Having dense tissue in the breast can make it more difficult for radiologists to identify breast cancer on a mammogram, and women with dense breast tissue have a higher risk of breast cancer.
Around 100 million people with private insurance got preventive care required under the ACA in 2018, one estimate found, making it the provision with the widest reach. Insurers generally must not impose copays or deductibles on the recommended preventive care. "Many preventive care services are not covered by this decision," Simon said. Health plans will still be required to ensure no copays for many preventive services, including birth control and mammograms, Simon said. Some states have their own mandates, meanwhile, around free preventive care.
The Biden administration on Friday appealed a Texas federal judge's decision to strike down free Obamacare coverage of preventive health-care services ranging from screenings for certain cancers and diabetes to HIV prevention drugs. HHS estimates that 150 million Americans benefited from the free screenings, counseling, medications and other forms of health care that prevent disease under the Obamacare requirements. Working class Americans will get hit the hardest and might forgo essential health care because they can't afford the cost, Gostin said. O'Connor ruled that Obamacare cannot mandate free coverage of health care recommended by the Preventive Services Task Force because the organization's members were appointed in an illegal manner. They also argued the Preventive Services Task Force was appointed in an unconstitutional manner and therefore its recommendations cannot serve as the basis of an Obamacare mandate.
WASHINGTON, March 31 (Reuters) - The U.S. Justice Department is appealing a decision by a Texas judge that blocked Obamacare's mandate that health insurance plans cover preventive care at no cost to patients, the White House said on Friday. U.S. District Judge Reed O'Connor in Fort Worth, Texas, on Thursday blocked the federal government from enforcing requirements that insurance plans cover preventive care, including screenings for certain cancers and pre-exposure prophylaxis against HIV (PrEP). If O'Connor's ruling is not paused or overturned on appeal, insurers will be able to charge patients copays and deductibles for such services in new insurance plans. "The president is glad to see the Department of Justice is appealing the judge's decision," White House Press Secretary Karine Jean-Pierre said in a statement. "Preventive care saves lives, saves families money, and protects and improves our health," she said.
A federal judge on Thursday struck down an Obamacare mandate that required most private health insurance plans to cover preventive care such as certain cancer screenings and HIV prevention drugs. You can find the full list of covered preventive services the judge struck down here. Judge Reed O'Connor in U.S. Northern District of Texas struck down those coverage requirements and blocked the federal government from enforcing them. The Affordable Care Act mandated free coverage of health services recommended by an independent panel of experts called the Preventive Services Task Force. They had also sought to overturn the federal mandate that requires Obamacare compliant plans to cover birth control with no out-of-pocket costs.
More men are being diagnosed with advanced prostate cancer that is less likely to respond to treatments, a new study from the American Cancer Society suggests. Even more concerning than the rise in advanced cancer diagnoses is the increased number of prostate cancer deaths. “This increase is concerning and requires a new look at prostate cancer screening,” Tewari said. Essentially, that’s like 16 Boeing 747s crashing.”Black men had a 70% higher incidence of prostate cancer than white men. Declines in prostate cancer screeningIn 1994, the Food and Drug Administration approved the use of measurements of the prostate specific antigen (PSA) to be used as part of a screening test for prostate cancer.
Guardant Health said that its blood test to screen for cancer caught 83% of colorectal cancer cases. On Thursday, Silicon Valley-based biotech Guardant Health announced that its blood-based cancer screening test correctly caught colorectal cancer cases in 83% of people who had the disease. The company already has several products on the market, including Guardant360CDx, an FDA-approved blood test to test cancer genomic markers that could help show what treatments the cancers are susceptible to. Colonoscopies are still the gold standard of colorectal cancer screening, despite involving sedation and hours of unpleasant physical preparation. And while colorectal cancer is the first cancer that is being studied for a blood-based screening, it certainly won't be the last.
CNN —A small proportion – 14.1% – of all diagnosed cancers in the United States are detected by screening with a recommended screening test, according to a new report. “I was shocked that only 14% of cancers were detected by screening. I think, for many people, we talk so much about cancer screening that we imagine that that’s how all cancers are diagnosed. She suspects that the percentage of cancers detected by screening could now be even lower than what was found in the new report. “I definitely think that the percent of cancers detected by screening would have been lower as a result of the pandemic.
How to screen for colon cancer
  + stars: | 2022-12-06 | by ( Sandee Lamotte | ) edition.cnn.com   time to read: +7 min
A representative for Alley confirmed to CNN via email on Tuesday that she had been diagnosed with colon cancer prior to her death. Colorectal cancer, which includes colon and rectal cancers, is the second most common cause of death from cancer in 2022, outranked only by lung and bronchus cancer, according to the National Cancer Institute Surveillance, Epidemiology and End Results Program. Regular checkups are the best way to keep colon cancer at bay, according to the US Preventive Services Task Force. DNA stool test: A DNA stool test is another option, the society said. “You didn’t put the scope in yet, did you?” asked Couric, whose husband, Jay Monahan, had died from colon cancer at age 42 in 1998.
Register now for FREE unlimited access to Reuters.com RegisterThe benefits of screening for prostate cancer have been controversial. At individual facilities, higher rates of screening were linked with lower rates of subsequent diagnoses of advanced cancers. But for every 10% decrease in screening, there was a corresponding 10% increase in metastatic prostate cancer incidence five years later, the researchers said. Rose noted that while the USPSTF advice to limit prostate cancer screening has resulted in lower rates of prostate cancer diagnoses, rates of metastatic prostate cancer have increased "more dramatically." A spokesperson for the USPSTF said an update to its prostate cancer screening recommendation is not currently underway.
Earlier this week the U.S. Preventive Services Task Force recommended that primary care doctors screen all children ages 8 to 18 for anxiety, regardless of whether or not they are showing symptoms. It also reaffirmed that children ages 12 to 18 should be screened for depression, guidance it has given in previous years. From 2016 to 2019, some 5.7 and 2.8 million children were diagnosed with anxiety and depression, according to data from the Centers for Disease Control and Prevention. "For older children and teens, screening and follow-up care can reduce symptoms of depression and can improve, and potentially resolve, anxiety," the statement reads. "However, there is very limited evidence on the benefits and harms of screening children younger than 8 for anxiety and younger than 12 for depression."
The recommendation from the independent panel of experts applies to children who aren't showing any signs or symptoms of a mental health problem. The health panel's new guidance represents a final set of recommendations for mental health screening for children. The problem, however, is that there is a dearth of mental health professionals trained to help such children. A second report found that emergency room visits related to children’s mental health rose dramatically in 2020, compared with 2019. But Pbert said that true mental health problems in children can result in excessive behavior changes.
CNN —For the first time, the US Preventive Services Task Force has recommended screening for anxiety in children 8 and older. In its final recommendations, published Tuesday in the medical journal JAMA, the task force also urged screening for depression in children 12 and older, consistent with recommendations from 2016. The members considered recommendations on screening for suicide risk in children and adolescents but said there’s not enough evidence on its harms and benefits. Last month, the task force posted draft recommendations that for the first time said adults under 65 be screened for anxiety. “It is not coincidental that the USPSTF considered evidence for suicide and depression screening in the same updated Evidence Report and Systematic Review,” he wrote.
There is no evidence to support claims recently made online that vitamin D is “the most effective medicine against cancer” or that taking the vitamin prevents cancer or lowers the odds of dying from the disease, according to scientific analyses. In a follow-up analysis of the data (here ) , the same team found that taking vitamin D was associated with lower incidence of advanced cancers, but only among normal-weight individuals. If it can be confirmed, they said vitamin D might help slow cancer progression at lower cost than current cancer drugs,“Even if vitamin D effects were modest, vitamin D supplementation at the studied levels is much less toxic and lower cost than many current cancer therapies.”The researchers, however, did not suggest it would be more effective than existing cancer treatments. There is no evidence that vitamin D prevents cancer, or treats cancer more effectively than existing medicines. A large research review found no effect on cancer incidence or mortality from taking vitamin D. A large clinical trial found a possible slowing of cancer progression in people who do develop tumors, and concluded that if the effect could be confirmed, vitamin D might provide a “modest” benefit.
What new guideline is the U.S. Preventive Services Task Force proposing for anxiety screening as Americans struggle to cope with illness, isolation and other stressors like inflation?
Many Americans are reporting symptoms of anxiety disorders and depression following the height of the Covid-19 pandemic. Adults under the age of 65 should be screened for anxiety disorders and all adults should be checked for depression, a government-backed panel said, as many Americans report symptoms of these mental-health conditions following the height of the Covid-19 pandemic. The draft guidance released Tuesday marks the first time that the United States Preventive Services Task Force has made a recommendation on screening adults for anxiety disorders. The move comes months after the task force issued similar draft guidance for children and adolescents.
U.S. doctors should regularly screen all adults under 65 for anxiety, an influential health guidelines group proposed Tuesday. It’s the first time the U.S. Preventive Services Task Force has recommended anxiety screening in primary care for adults without symptoms. “The most important thing to recognize is that a screening test alone is not sufficient to diagnose anxiety,” Pbert said. The group continues to recommend depression screening for adults and children, but said there isn’t enough evidence to evaluate potential benefits and harms of suicide screening in adults who show no worrisome symptoms. In 2020, a group affiliated with the American College of Obstetricians and Gynecologists recommended routine primary care anxiety screening for women and girls starting at age 13.
The task force defines anxiety disorders as "characterized by greater duration or intensity of a stress response over everyday events." Screening tools already availableThe anxiety recommendation would apply to adults 19 and older who do not have a diagnosed mental health disorder. The statements are for anxiety screening in adults over the age of 65 and for screening of suicide risk in adults. The task force members also hope the recommendations will elevate awareness about the need for mental health screening and treatment. "We would like people to be honest, to provide their input and perspectives," Pbert said, adding that the task force will read every comment.
The upshot: Today's working parents are under enormous pressure, and their stress has quickly gone from leaking into their professional life to crashing through the floodgates. It's up to employers, experts say, to help working parents manage their priorities and offer flexibility to face this daunting reality. Recognizing the pressures that exist for working parents right now is a good starting point. Importantly, she said, working parents need to be self-compassionate. "What our children need from us changes, and the roles we need to play for them change," she said.
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