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A federal appeals court panel said Wednesday that it would impose restrictions on the abortion pill mifepristone that would prevent the drug from being prescribed by telemedicine or dispensed through the mail. But the decision — the latest development in a closely watched lawsuit filed by abortion opponents seeking to block access to abortion pills — will not take effect until the Supreme Court ultimately decides the case. In a ruling this spring, the high court said mifepristone should remain available under the current rules until the appeals process concludes. In its ruling, a three-judge panel of the U.S. Court of Appeals for the Fifth Circuit upheld part of a decision issued in April by a federal judge in Texas. That decision, by Judge Matthew J. Kacsmaryk, had nullified the Food and Drug Administration’s approval of the pill 23 years ago.
Persons: mifepristone, Judge Matthew J, Kacsmaryk Organizations: U.S ., Appeals, Fifth Locations: Texas
Used boxes of Mifepristone, the first pill in a medical abortion, line a trash can at Alamo Women's Clinic in Carbondale, Illinois, U.S., April 20, 2023. Circuit Court of Appeals stopped short of ruling that the drug must be pulled off the market altogether, as a lower court had done. The three-judge 5th Circuit panel was reviewing an order in April by U.S. District Court Judge Matthew Kacsmaryk in Amarillo, Texas. They contend the FDA used an improper process when it approved mifepristone in 2000 and did not adequately consider the drug's safety when used by minors. The court also reversed the agency's 2016 decision to allow mifepristone to be used up to 10 weeks of pregnancy, up from seven.
Persons: Evelyn Hockstein, Matthew Kacsmaryk, Kacsmaryk, Erin Hawley, William Ho, mifepristone, telemedicine, Jennifer Walker Elrod, Wade, Brendan Pierson, Nate Raymond, Cynthia Osterman Organizations: Alamo Women's, REUTERS, Circuit, U.S, Supreme, U.S . Food, Drug Administration, White, Alliance, Hippocratic Medicine, FDA, Alliance Defending, STATES, Guttmacher Institute, American College of Obstetricians, American Medical Association, Thomson Locations: Alamo, Carbondale , Illinois, U.S, New Orleans, Amarillo , Texas, New York, Boston
Circuit Court of Appeals stopped short of ruling that the drug must be pulled off the market altogether, as a lower court had done. A spokesperson for the U.S. Department of Justice said that the Biden administration will appeal the ruling to the U.S. Supreme Court. President Joe Biden, a Democrat, supports abortion rights and last year ordered the federal health agency to expand access to mifepristone. [1/2]Used boxes of Mifepristone, the first pill in a medical abortion, line a trash can at Alamo Women's Clinic in Carbondale, Illinois, U.S., April 20, 2023. The U.S. Supreme Court last year overturned its landmark Roe v. Wade ruling that had legalized abortion nationwide.
Persons: Biden, Joe Biden, Matthew Kacsmaryk, Kacsmaryk, Erin Hawley, Susan B, Anthony Pro, Alexis McGill Johnson, Evan Masingill, Evelyn Hockstein, James Ho, mifepristone, telemedicine, Jennifer Walker Elrod, Wade, Brendan Pierson, Patrick Wingrove, Nate Raymond, Sharon Bernstein, Trevor Hunnicutt, Cynthia Osterman Organizations: Circuit, U.S . Department of Justice, U.S, Supreme, Alliance, Hippocratic Medicine, FDA, Alliance Defending, Planned Parenthood Federation of America, U.S . Food, Alamo Women's, REUTERS, Guttmacher Institute, American College of Obstetricians, American Medical Association, Reuters, Thomson Locations: U.S, New Orleans, Amarillo , Texas, Alamo, Carbondale , Illinois, New York, Boston, Sacramento , California, Washington
Boxes of Mifepristone, the first pill in a medical abortion, are seen at Alamo Women's Clinic in Carbondale, Illinois, U.S., April 20, 2023. Circuit Court of Appeals means for doctors and patients:CAN PATIENTS STILL GET THE ABORTION PILL? WHAT IS MEDICATION ABORTION? Medication abortion is a two-drug regimen consisting of mifepristone followed by misoprostol used to terminate a pregnancy within the first 10 weeks. If the ruling is upheld, doctors could still prescribe the abortion pill, but with restrictions.
Persons: Evelyn Hockstein, mifepristone, misoprostol, Wade, Matthew Kacsmaryk, Danco, GenBioPro, Brendan Pierson, Noeleen Walder, Lisa Shumaker Organizations: Alamo Women's, REUTERS, New, Circuit, U.S, Supreme, Danco Laboratories, FDA, Hippocratic Medicine, U.S . Food, Drug Administration, District, Thomson Locations: Carbondale , Illinois, U.S, New Orleans, United States, Texas, Amarillo , Texas
There is likely a long way to go before the U.S. sees increased insurance coverage for obesity drugs. While the trial results demonstrate that obesity drugs may have significant health benefits beyond shedding unwanted pounds, organizations representing U.S. insurers emphasized that the data is still preliminary. "Health insurance providers will continue to analyze new evidence as it becomes available," he added. Ceci Connolly, CEO of the Alliance of Community Health Plans, acknowledged the promise of the data but said "outrageous prices should give everyone pause." The organization represents regional, community-based health plans that cover more than 18 million Americans across the U.S.
Persons: Jim Vondruska, Wegovy, Eli Lilly, David Allen, Ceci Connolly, Jared Holz, It's, Debra Tyler's, Joe Buglewicz, Eduardo Grunvald, George Frey, UCSD's Gunvald, Eli, Ethan Lazarus, Lazarus Organizations: Reuters Novo Nordisk, Novo Nordisk, America's Health, Alliance of Community Health, U.S, Drugs, Pfizer, Medicare, CVS, Aetna, CNBC, Washington Post, Getty, UCSD Health's Center, International Foundation of Employee, University of Texas System, UTS, Novo, Reuters, Obesity Medicine Association, New England, of Medicine Locations: Chicago , Illinois, U.S, Mizuho, Killingworth, Conn, Texas
Lyme disease: A doctor explains what it is
  + stars: | 2023-08-08 | by ( Katia Hetter | ) edition.cnn.com   time to read: +7 min
CNN —As model Bella Hadid opens up about Lyme disease and other health issues, her ordeal brings up many questions. Lyme disease is transmitted through the bite of a particular tick, the black-legged tick (Ixodes scapularis and Ixodes pacificus). CNN: Is there a blood test one could take to see whether they have Lyme disease? False positives can also occur, with some other tickborne diseases and autoimmune illnesses triggering a positive result in the absence of Lyme disease. Wen: Without a vaccine, the best way to prevent Lyme disease is to prevent tick bites.
Persons: Bella Hadid, Leana Wen, Lyme, Wen, It’s Organizations: CNN, George Washington University Milken Institute School of Public Health, Getty, National Institute of Allergy, Pfizer Locations: Lyme, United States
Virtual Healthcare Has Green Benefits
  + stars: | 2023-08-02 | by ( Cecilia Butini | ) www.wsj.com   time to read: +8 min
Virtual doctor’s appointments are helping healthcare companies reduce carbon emissions, though sustainability is mostly seen as a side benefit of telehealth rather than its main driver. The healthcare industry is responsible for about 5% of global greenhouse-gas emissions, of which the U.S. healthcare system alone accounts for a quarter. Similarly, in England, medicines, buildings, equipment and other supply-chain items generate most of the National Health Service’s emissions, according to official NHS figures. The company has designed an app for teleconsultations that is able to show patients the carbon emissions avoided through that consultation. In line with national data, the company said its Scope 3 emissions account for 75% of its total emissions.
Persons: telehealth, Cynthia Cox, KFF, , Colin Cave, ” Cave, Glyn Richards, Ben Phillips, BUPA, Marijka Grey, Kyle Zebley, — Dieter Holger, Cecilia Butini Organizations: McKinsey, Sustainable Business, Affordable, Energy, U.S . Agency for Healthcare Research, National Health, Kaiser Permanente, Permanente Kaiser Permanente, Spain —, CommonSpirit Health, CommonSpirit, American Telemedicine Association Locations: England, telemedicine, Kaiser, U.S, Northwest, U.K, Spain, Grey, Europe
Though abortion is legal in Guam up to 13 weeks of pregnancy, and later in certain cases, the last doctor who performed abortions left the island in 2018. BackgroundAbortion has long been a taboo topic on the culturally conservative island where about 80 percent of the inhabitants are Catholic. A federal court ruled that the ban was unconstitutional and blocked the territorial government from enforcing it, but the attorney general is fighting to try to revive the ban. That law was then blocked by a federal judge, allowing the doctors to send abortion pills. But with the momentum of the Supreme Court decision last year that overturned the national right to abortion, the Guam attorney general’s office said the injunction should be lifted.
Persons: Douglas Moylan, Vanessa L, Williams, general’s, Donald J, Trump, George W, Bush, Alexa Kolbi, , , Moylan, Roe, Wade, Guam’s Organizations: Republican, New York Times, American Civil Liberties Union Locations: Guam, San Francisco, Hawaii, Honolulu,
Amazon is rolling out its virtual health clinic service nationwide, the company announced Tuesday. Amazon does not provide the telemedicine services itself, but instead provides Amazon Clinic as a platform to connect telemedicine partners with patients. With Tuesday's announcement, users in all 50 states and Washington, D.C., can access Amazon Clinic via video visits. Due to regulatory issues, message-based chat on Amazon Clinic is only available in 32 states. Amazon Clinic doesn't yet accept insurance, but consumers can use insurance to help pay for medications prescribed through the service.
Persons: Nworah Ayogu, Ayogu, Berkshire Hathaway Organizations: Amazon Clinic, Curai, Alpha, D.C, CNBC, Amazon, Berkshire, JPMorgan Locations: Washington, PillPack
CHICAGO, July 31 (Reuters) - Quest Diagnostics (DGX.N) on Monday launched the first direct-to-consumer blood test to detect abnormal levels of beta amyloid, a key Alzheimer's protein which can appear years before dementia symptoms arise. The $399 test, called AD-Detect, uses the same technology as a blood test the company launched for use by doctors in early 2022. Users must first pay for the test on Quest's website. Quest will then arrange for an appointment with a telemedicine doctor to order it on their behalf. Quest's lab-developed test, created and performed in a single laboratory, has not undergone any FDA review.
Persons: Michael Racke, Biogen, Eli Lilly, Racke, Julie Steenhuysen, Richard Chang Organizations: Quest Diagnostics, Monday, U.S . Food, Drug Administration, Thomson Locations: Eisai, Alzheimer's
Full Stack Observability provides the key to unlock all that. From that standpoint, Cisco's Full Stack Observability represents an industry revolution. With Full Stack Observability, customers and partners can develop modern solutions to empower new observability use-cases delivering on great end-user and application experiences. "All of this rolls up to the most important aspect of Cisco Full Stack Observability. Let Cisco's Full Stack Observability help your business deliver flawless, secure digital experiences.
Persons: Carlos Pereira, OpenTelemetry, Pereira, Cisco's, they're, We've Organizations: Companies, Cisco, Insider Studios
Opinion | How to Reduce the High Rates of Maternal Mortality
  + stars: | 2023-07-23 | by ( ) www.nytimes.com   time to read: +1 min
To the Editor:Re “More Mothers Are Dying, and It’s Preventable,” by Dr. Veronica Gillispie-Bell (Opinion guest essay, July 17):There are other ways to address the high maternal mortality and morbidity rates. Improve abortion access at any gestational age when maternal life is at risk. Educate high-risk women of all ages on long-term, reversible contraception (especially IUDs). Make it easier to credential or re-credential older, retired professionals (physicians, nurse midwives) across state lines to assist with the shortage of medical practitioners. Nutrition or health classes are often part of school curriculums; educate, screen and treat at younger ages for hypertension and other medical conditions.
Persons: Veronica Gillispie
Sequence offers access to weight-loss drugs like Ozempic and Wegovy. Analysts say the move could save the company, but some WeightWatchers members aren't happy. Although the medication has gained popularity online and among celebrities, veteran WeightWatchers members aren't all happy with the company's pivot. Some WeightWatchers members expressed concern that the company was abandoning its message of self-restraint for the easy solution of weight-loss medication. Sequence, meanwhile, prescribes weight-loss medications like Ozempic and Wegovy and helps patients afford the drugs through insurance and reimbursements.
Persons: WeightWatchers, aren't, They're, Goldman Sachs, Sima Sistani, Jenny Craig Organizations: WW, Inc, Bloomberg, Employers
Overall, an FDA spokesperson says that “trial participants should reflect the population that is likely to use the product if FDA-approved. Across a group of 10 novel cancer therapies approved by the FDA in 2022, data shows the share of Black participants in key clinical trials ranged from zero to 8%. “Access to clinical trials at the sites where patients are living is an important factor to changing the landscape,” Perez says. “There’s been some novel ways to recruit patients, like using the church and using barbershops to recruit Black patients,” Cho says. Haddad says a number of Mayo patients were receiving experimental therapies through clinical trials when the pandemic began.
Persons: , Leslie Cho, Robert, Suzanne Tomsich, it’s, Edith Perez, Bolt Biotherapeutics, ” Perez, Eli Lilly, , Lilly “, they’ll, Craig Lipset, ” Lipset, ” Cho, “ There’s, Dr, Tufia Haddad, Haddad, Mayo, Jennifer Dahne, Larry Hawk, Hawk Organizations: Women’s Cardiovascular, Cleveland Clinic, of Cardiovascular Medicine, U.S . Food, Drug Administration, FDA, , Health, Committee, Cancer, Janssen Pharmaceuticals, Centers for Disease Control, Research Alliance, Mayo Clinic Comprehensive Cancer Center, Care, Mayo’s Center for Digital Health, College of Medicine, Medical University of South, of Psychology, University, Buffalo, SUNY, JAMA Locations: U.S, Chicago, Dallas, Los Angeles, Philadelphia, Los Angeles County, Alaska, , Medical University of South Carolina
A new breed of direct-to-consumer services is aggressively using targeted ads to sell habit-forming medications. In short, AI and surveillance capitalism, which empower today's targeted ads, have joined forces with the deadly OxyContin playbook. As the Journal reported, after ADHD medications grew to 20% of the VC-funded company's business, driving a $4.8 billion valuation, things came crashing to earth. We as a society may have come to accept being stalked by targeted ads, but consequences are much graver when the product itself is a danger. But above all, we need rules that ban targeted ads for drugs that can get patients hooked.
Persons: Taylor Swift, they're, haven't, Van Zee, OxyContin, prescribers, Dr, David Sack, Anthony Yeung, recreationally, Yann Poncin, shih, Ryan Haight, Ryan Haight Act's, Albert Fox Cahn Organizations: Circle, Purdue, American, of Public Health, Sackler family's pharma, Physicians, Yale School of Medicine, Bloomberg, Drug Enforcement Agency, Department of Health, Human Services, Ryan, Twitter, FDA Locations: Canadian, California, United States, New Zealand, New York
In the first half of 2023, healthcare investors have written big checks for their top startup picks. 2023 is on track to be the lowest year of healthcare funding since 2019, Rock Health says. Digital-health startups in the US raised $6.1 billion in the first half of 2023, Rock Health's H1 2023 funding report published on Monday found. Right now, 2023 is on track to be the lowest healthcare funding year since 2019, according to Rock Health. Krasniansky said Rock Health expects many of the impending shutdowns to impact healthcare startups that sell products and services to patients online and on-demand, especially direct-to-consumer companies like telemedicine or mail-order-pharmacy startups.
Persons: It's, haven't, Healthcare's, healthcare's, Adriana Krasniansky, Krasniansky, Ian Chiang, he's, Lynne Chou O'Keefe, it's, Corey McCann, Chou O'Keefe, Organizations: Rock Health, megadeals, Monogram Health, Frist Cressey Ventures, Flare Capital Partners, Define Ventures, Pear, Madison, Pear Therapeutics
CNN —You may know someone who has taken melatonin to help them sleep. Sometimes, they mention a friend who recommended a specific brand that’s supposed to be “really strong.” Then I ask them if taking melatonin has worked for them. Finally, people can become psychologically dependent on taking the supplement and become afraid of what will happen to their sleep if they stop taking melatonin. To understand how melatonin supplements work (and why they often don’t), it’s important to look at how the hormone naturally functions in the human body. This makes consulting a sleep specialist before taking melatonin all the more important.
Persons: Jennifer Martin, Australia — Organizations: David Geffen School of Medicine, University of California, American Academy of Sleep, CNN, JAMA, European Union, Twitter, Facebook Locations: Los Angeles, cannabidiol, Canada, United Kingdom, Japan, Australia
But it's exhausted the capabilities of asynchronous care, one healthcare expert told Insider. The answer may lie in in-home monitoring technology, healthcare experts told Insider, which could be the next phase of telemedicine. Another example of a telemedicine model that uses in-home monitoring to expand access to care is the startup Bicycle Health. But there are obstacles to getting this kind of care to patients, including doctors' resistance to telemedicine and federal and state regulation. "For one-quarter century, this has been the domain of states," Kyle Zebley, senior vice president of public policy at the American Telemedicine Association, told Insider.
Persons: it's, Alana Saltz, Saltz, Ateev, Mehrotra, Danny Nieves, Kim, Nieves, telehealth, , Kyle Zebley, Zebley, that's Organizations: Healthcare, Morning, Harvard University, Technology, Health, Bicycle Health, American Telemedicine Association, McKinsey Locations: COVID,
The Department of Justice announced Wednesday that it has recently charged 78 people with $2.5 billion in separate health-care fraud and opioid abuse schemes. The defendants allegedly defrauded programs used to take care of elderly and disabled people, and in some cases used the ill-gotten money to buy exotic cars, jewelry, and yachts, the DOJ said. Among those charged are 11 defendants accused of submitting $2 billion in fraudulent claims through telemedicine, as well as 10 defendants charged in connection with fraudulent prescription drug claims. In all, prosecutors filed charges against people in 16 states in cases that were lodged or unsealed in the past two weeks as part of the coordinated crackdown. In the scheme cited by Garland, executives of supposed software and services companies submitted $1.9 billion in fraudulent claims to Medicare for items that were not eligible for reimbursement, according to the DOJ.
Persons: General Merrick Garland, Garland, Brett Blackman, Gregory Schreck, Johnson, Gary Cox Organizations: of Justice, DOJ, Justice Department, Southern, Southern District of Locations: telemedicine, Johnson County , Kansas, Maricopa County , Arizona, U.S, Southern District, Southern District of Florida
Dr. Sophia Yen is the CEO and cofounder of Pandia Health, a birth-control-delivery service. Yen said she's optimistic about the potential for AI and machine learning to transform healthcare. Pandia Health is a women-founded and women-led birth-control prescription and delivery service, offering online doctor's visits to patients across the country. As healthcare continues to evolve in a post-pandemic world, Yen told Insider that she intends to continue evolving Pandia Health along with it. AI and machine learning could improve the reproductive-healthcare experience and cut costsYen told Insider the company is keeping an eye on the technological breakthroughs being spurred by generative AI and machine learning.
Persons: Sophia Yen, Yen, cofounders, Roe, Wade —, Organizations: Pandia, Morning, Pandia Health, Health Locations: United States
While abortion is legal in the US territory of Guam, it can be almost impossible to get. There are no doctors left on the island to perform abortions, so patients rely on telemedicine. If a pregnant person can't use abortion pills, their next best option is an 8-hour flight to Hawaii. Just two doctors are licensed and willing to provide care in Guam, though they are both based in Hawaii, The Times reported. On the island, anti-abortion sentiment persists among citizens, many of whom are Catholic, and within the local government, The Times reported.
Persons: , Republican Douglas Moylan, Moylan, Lou Leon Guerrero, Guerrero, Guam's Organizations: Service, New York Times, The Times, Republican, Times, Democratic Gov, Associated Press Locations: Guam, Hawaii, Guam —, Japan, Guamanians, United States, Guam's
The New York State Legislature gave final approval on Tuesday to legislation that provides legal protection for New York doctors to prescribe and send abortion pills to patients in states that have outlawed abortion. The measure, along with similar new laws in several other states controlled by Democrats, could significantly expand medication abortion access by allowing more patients in states that restrict abortion to end pregnancies at home, without traveling to states where abortion is legal. The New York bill now goes to the desk of Gov. Since the Supreme Court ended the nationwide right to an abortion last year, legislation known as telemedicine abortion shield laws have been enacted in Massachusetts, Colorado, Vermont and Washington. Several providers in New York say they plan to send abortion pills to patients in all restrictive states, and a few providers are speaking publicly, which those in other states with shield laws have so far not done.
Persons: Kathy Hochul Organizations: New, Democrats, The New, Assembly Locations: New York, The New York, York, Massachusetts , Colorado , Vermont, Washington, But
An expert estimated 80% of trans adults in the state lost access to healthcare because of a new law. Ron DeSantis signed last month also made it difficult — even impossible — for many transgender adults to get treatment. AP Photo/Laura Bargfeld"For trans adults, it's devastating," said Kate Steinle, chief clinical officer at FOLX Health, which provides gender-affirming care to trans adults through telemedicine. Dunn estimates that 80% of trans adults in the state were getting their healthcare from a nurse practitioner and now have lost access. AP Photo/Laura BargfeldLucas, who transitioned eight years ago when he was 18, anticipates running out of hormone treatments in June.
Persons: , Ron DeSantis, Eli, Lucas, Laura Bargfeld, I'm, Kate Steinle, Lana Dunn, SPEKTRUM, haven't, Dunn, Eli cuddles, That's, Laura Bargfeld Lucas, It's, ___ Beaty Organizations: Service, Republican, Gov, AP, Associated Press, Inc, Williams Institute, University of California, Los Angeles School of Law Locations: Florida, TALLAHASSEE, Fla, Casselberry , Florida, Orlando, telemedicine, Minnesota, New York City, Raleigh , North Carolina
A biotech company said 400 people had been mistakenly informed they might have cancer. Grail Inc said the error resulted from a software issue, which has been resolved. The incident was part of a trial of an early-detection blood test called Galleri. Grail Inc, an American biotechnology company, developed an early-detection blood test called Galleri, created to identify more than 50 types of cancer before symptoms appear, per Reuters. The company, owned by gene sequencing company Illumina, said it promptly contacted patients after the incident.
Persons: , Grail, PWNHealth, MassMutual Organizations: Inc, Service, Financial Times, British Locations: American
Companies Grail Inc FollowIllumina Inc FollowJune 2 (Reuters) - Cancer test maker Grail Inc (GRAL.O) said on Friday that its telemedicine vendor erroneously sent letters to about 400 patients suggesting they may have developed cancer. Grail's flagship cancer detection blood test Galleri is designed to detect more than 50 types of cancer before symptoms appear. Grail said it had reached out to the patients immediately after the issue, adding that no patient health information has been disclosed or breached due to this. The software issue being faced by PWNHealth has now been resolved, it said. Illumina is currently appealing regulatory orders in the U.S. and EU, which are asking the gene sequencing company to divest Grail after it jumped regulators to close its acquisition of the cancer test maker.
Persons: Grail, PWNHealth, Illumina, Mariam Sunny, Shilpi Majumdar Organizations: Illumina Inc, Thomson Locations: U.S, Bengaluru
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