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Another clunker: John Cornyn’s ad on preexisting conditions

In a new campaign ad, Cornyn says one of the law’s central features, its guarantee that insurers must sell plans to any patients with preexisting conditions, “is something we all agree should be covered.”

Cornyn is a fixture of Texas and national politics and the No. 2 Republican in Senate leadership. His lead in this year’s race is not slim, and his ad is more carefully worded than the rest.

But Cornyn continues to oppose the Affordable Care Act, and his campaign would not say whether he backs a Republican lawsuit seeking to strike down the entire law at the Supreme Court.

If the ACA were to fall, the legislation Cornyn proposes as a replacement to cover those with preexisting conditions says “nothing … shall be construed to restrict the amount that an employer or individual may be charged for coverage under a group health plan.” Charge them whatever price, it says.

Experts say this arrangement would leave tens of millions of Americans with preexisting conditions at risk and possibly facing unaffordable rates for insurance. That’s why we’ve previously described the GOP proposal Cornyn supports as a “car without an engine.”

The Facts

The Affordable Care Act, President Barack Obama’s signature health-care legislation, has long been a target for Republicans. Cornyn has voted numerous times to repeal or replace it since its enactment in 2010. This is the third presidential election cycle in which the fate of the law is a top issue for candidates and voters.

Efforts to repeal “Obamacare” in Congress have fallen short for lack of agreement among Republicans on how best to rewrite it, most notably in 2017 and 2018, when the GOP controlled both chambers of Congress and the White House. The Supreme Court has upheld the act twice in the face of challenges from conservative groups and is scheduled to hear arguments in the latest case (California v. Texas) on Nov. 10.

As coronavirus cases reached a new high in the United States, the Trump administration filed a legal brief on June 25 asking the Supreme Court to strike down the entire law, joining with a group of GOP state attorneys general who argue the ACA is unconstitutional. About 20 million people could lose their health insurance amid a pandemic if the GOP effort succeeds.

The lawsuit comes from Cornyn’s home state, led by Texas Attorney General Ken Paxton (R). The federal judge who initially ruled to strike down the law in this case is a former Cornyn aide sitting in Texas.

“Asked if he wanted to see the lawsuit succeed, Cornyn did not say,” according to an article last month in the Texas Tribune. We asked the Cornyn campaign the same question and did not get an answer.

On his campaign website, Cornyn says, “Our health care system is broken, but Obamacare — with its unattainable costs, job-killing policies and intrusion between a patient and their doctor — isn’t the answer.”

Senate Minority Leader Charles E. Schumer (D-N.Y.) last month forced

Barcelona doctors strike to improve conditions [Video]

Holding up banners and chanting “enough, enough”, health workers demonstrated in front of the Catalan healthcare headquarters.

Despite health workers offering only “minimal healthcare services” during the four-day strike, local residents said they supported the health workers´ battle and still received good healthcare attendance.

“I very much agree that there is a strike and I am very happy with how they have treated me, I was a little worried about that (the strike) but no, they have treated me very well and I think that the health personnel are the ones who have the most reasons to go on strike as things are today,” Jose Enrique Gargallo said.

Spain has reported nearly 28,000 new coronavirus cases since Friday (October 9), bringing the cumulative total to 888,968, health ministry data showed on Monday (October 12).

The death toll from the virus rose by 195 from Friday to a total of 33,124. Spain does not report its coronavirus data during the weekend.

Video Transcript

[SPEAKING SPANISH]

INTERPRETER: We’re asking for help because we cannot give people the resources they need to be treated during this COVID pandemic. I mean, we are not treating people as we should in the current circumstances we’re facing in this pandemic.

JOSE ENRIQUE GARGALLO: [SPEAKING SPANISH]

INTERPRETER: I very much agree that there is a strike and I am very happy with how they’ve treated me. I was a little worried about that, but no, they have treated me very well. And I think the health personnel are the ones who have the most reasons to go on strike as things are today.

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COVID-19 virus can survive on some surfaces for nearly a month in lab conditions

The virus that causes COVID-19 can survive for nearly a month in cooler, dark conditions on some nonporous surfaces such as glass and money in controlled laboratory conditions, according to a study published Monday that notes that the primary source of spread still appears to be through airborne aerosols and droplets caused by talking, singing, breathing or laughing.

The study, completed by experts at the Australian Centre for Disease Preparedness, and published in “Virology Journal,” found that the virus was detectable after 28 days on surfaces such as glass, stainless steel, paper and polymer banknotes in lab experiments at room temperature — 68 degrees Fahrenheit.

The authors of the study wrote that the findings are important because phones, ATMS and other high-touch surfaces may not be regularly cleaned and therefore pose risks for transmission.

The experts concluded that surface or “fomite” transmission could play some role in the spread of COVID-19, though the degree is unknown.

“While the primary spread of SARS-CoV-2 appears to be via aerosols and respiratory droplets, fomites may also be an important contributor in transmission of the virus,” the authors wrote.

The study also found the virus is less likely to survive in higher temperatures, a finding confirmed by other studies.

At 86 degrees, the virus was detectable on most of those surfaces for only seven days but it was detected for 21 days on paper notes.

At 104 degrees, the virus was not detected past 48 hours for all surfaces tested.

“Temperature and humidity are both critical factors in viral survivability with an increase in either being detrimental to virus survival,” the authors wrote.

Other experts noted that studies that look at how long the virus can stay on various surfaces are tightly controlled and do not mirror real-life conditions. For example, the experiments in the Australian study were completed in the dark to negate any effects of UV light, which can kill COVID-19.

Previous studies have found virus on surfaces but did not determine whether it was live or inactive virus.

The new study, which looked at virus culture, showed the virus can be detectable and cultured after several days or weeks, which is “disconcerting,” said Peter Katona, chairman of the Infection Control Working Group at UCLA.

But it doesn’t answer whether the virus is still transmissible, he added.

“It’s a step in the right direction,” he said.

“Now we know that they’re viable virus particles. And that’s definitely a help but it doesn’t tell you how much you need to be significant. … The fact that virus on stainless steel is culturable in 28 days, does that mean in 28 days it was still transmissible? That’s the key question and this study did not answer that,” he said.

He added he wouldn’t use the study to inform real-world policies yet, and there’s not enough data to determine what role surface transmission plays in COVID-19 spread.

“We don’t understand that very well at all. We don’t know how important that is. We don’t know

COVID Could Add 20K+ Americans a Day to ‘Preexisting Conditions’

Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center.

Every day, another 20,000 Americans between 20 and 60 years of age could be classified as living with a “preexisting condition” because of COVID-19, researchers from the Commonwealth Fund report.

Overall, the pandemic could cause almost 3.5 million Americans to be added to this category, a fact that has important implications approximately 1 month before the US Supreme Court is expected to weigh in on the constitutionality of the Affordable Care Act (ACA), the investigators note.



Dr Eric Schneider

“Polls show that most Americans are worried that preexisting conditions could lead to loss of insurance coverage. People are surprised and even more worried when they realize that the pandemic is adding to this problem,” lead author Eric Schneider, MD, PhD, told Medscape Medical News.

The study was posted online in a blog post on October 8 by the Commonwealth Fund.

Schneider, senior vice president for policy and research at the Commonwealth Fund, and research associate Arnav Shah based their calculations on approximately 7.5 million cases of COVID-19 reported in the United States as of October 7, 2020. The figures include an estimated 45,000 new cases reported daily.

Using data from the Centers for Disease Control and Prevention and Johns Hopkins University, they found that 32% of 1,502,309 people with laboratory-confirmed or probable COVID-19 already had an underlying condition. This proportion varied by age.

Table. COVID-19 and Underlying Conditions

Age in years Proportion of confirmed or probable COVID-19 cases
20 – 29 23%
30 – 39 28%
40 – 49 36%
50 – 59 44%
Source: CDC Case Surveillance Task Force data.

 

If almost one third already have an underlying condition, this means that for the remaining 68%, insurers might consider COVID-19 their first preexisting condition.

More Than 3 Million Could Be Affected

“We estimated that just over 3.4 million nonelderly adults had COVID-19 as a new pre-existing condition,” the authors write.

“If the Supreme Court overturns the preexisting condition provision of the ACA, private insurers will be able to deny insurance coverage to adults under age 65 who are unable to get insurance through an employer or large group,” Schneider said. “Testing positive for COVID-19 could be treated as a preexisting condition.”

Furthermore, he added, “Because the long-term health effects of COVID-19 are unknown, these adults could be uninsurable until they reach age 65 and qualify for Medicare.”

There could also be economic consequences, Schneider said. “If COVID-19 causes long-term health problems the way hepatitis C or HIV do, these costs could be high for patients, providers, and government programs.”

Removing preexisting condition protections could also act as a disincentive. “Healthy people might avoid COVID-19 testing altogether. And that is exactly the opposite of what must happen if we are ever to get this pandemic under control,” the researchers note.

“A Frightening Picture”

“These findings highlight the importance of preexisting protection,” Nathalie Huguet, PhD, who was not affiliated with the study, told Medscape Medical News.



Dr

PCOS And Endo Can Both Mess With Your Period, But They’re Totally Different Conditions

From Women’s Health

In the world of reproductive conditions that can be tough to diagnose, two tend to get the most attention: polycystic ovary syndrome (PCOS) and endometriosis. While you’ve probably at least heard of both of these conditions, you might be fuzzy on the details. And, with that, it’s easy to confuse the two.

It’s important to know that it’s not rare to have either one of these health issues. “These are two relatively common gynecological conditions,” says Taraneh Shirazian, MD, an ob-gyn with NYU Langone Health. PCOS affects one in 10 women of childbearing age, according to the U.S. Department of Health and Human Services’ Office on Women’s Health (OWH). Endometriosis is slightly more common, impacting more than 11 percent of women between the ages of 15 and 44, according to the OWH.

Both conditions are notoriously tough to diagnose, given that their symptoms could be caused by a range of different issues, says Jessica Shepherd, MD, an ob-gyn in Texas. That doesn’t mean it’s impossible for a doctor to make the right diagnosis—it just can take a little more time and detective work than with some other conditions.

But, while both PCOS and endometriosis have some characteristics and symptoms in common, they’re not the same. “They’re very distinct, different conditions,” Dr. Shirazian notes. Here’s what you need to know about the differences between PCOS and endometriosis.

What exactly is PCOS?

What it is: PCOS is a health problem caused by an imbalance of reproductive hormones, the OWH says. That hormonal imbalance creates problems in the ovaries, which make an egg that’s released each month as part of a menstrual cycle. When you have PCOS, the egg might be develop the way it should or it might not be released during ovulation, the OWH says.

The most common symptoms:

  • Irregular periods

  • Excess hair growth on the face, chest, abdomen, or upper thighs

  • Severe acne, or acne that doesn’t respond to typical treatments

  • Oily skin

  • Patches of thick, velvety, darkened skin

  • Ovarian cysts

What is endometriosis?

What it is: Endometriosis, also commonly referred to as simply “endo,” happens when the endometrium, the tissue that normally lines the uterus, grows outside of the uterus and on other areas in your body where it doesn’t belong, according to the OWH. Endometriosis tissue growth is most commonly found on the ovaries, fallopian tubes, tissues that hold the uterus in place, and the outer surface of the uterus, although it can also show up on the vagina, cervix, vulva, bowel, bladder, or rectum, too.

Endometriosis implants respond to changes in the female hormone estrogen, and the implants may grow and bleed like the uterine lining does during your period, ACOG says. That can cause the surrounding tissue to become irritated, inflamed, and swollen.

The most common symptoms:

  • Chronic pelvic pain, especially before and during your period

  • Pain during sex

  • Pain when you poop

  • Pain when you pee

  • Heavy bleeding during your period

Worth noting: Many women with endometriosis

Surgery for benign breast conditions unlikely to harm breastfeeding ability

Having surgery for benign breast conditions won’t harm a woman’s future ability to breastfeed, new research suggests.

The study included 85 women, aged 18 to 45. Fifteen had a prior history of benign breast conditions, including cysts, benign tumors and enlarged breasts. Sixteen had had breast surgery, including breast augmentation, reduction mammoplasty and biopsy.

Whether they’d had surgery or not, 80% were able to breastfeed or obtain breast milk for bottle-feeding, according to findings presented Saturday at a virtual meeting of the American College of Surgeons. Research presented at meetings should be considered preliminary until published in a peer-reviewed journal.

Each year, nearly one million women in the United States are diagnosed with benign breast conditions. About half of women will have a benign breast lesion in their lifetime.

Many of these conditions are managed with surgery. Other common breast procedures include surgery to reduce enlarged breast tissue or augmentation for asymmetry or developmental breast conditions.

“Pediatricians and obstetrician-gynecologists who refer teenage patients for treatment of breast conditions, as well as parents, are concerned that surgery may impact breast development and eventual lactation,” said study co-author Laura Nuzzi, clinical research manager at Boston Children’s Hospital.

There is limited research on how surgery for benign breast conditions may affect later breastfeeding. The authors are continuing their research in this area, they noted in an ACS news release.

Study co-author Shannon Malloy is a clinical research associate in the hospital’s Adolescent Breast Clinic.

Malloy said, “We hope to augment the conclusions from this study that suggest plastic reconstructive surgeons, primary care practitioners, and any provider who comes in contact with women who have a benign breast condition can reassure them that an operation for a benign breast condition is safe and should not preclude them from enjoying the benefits of surgery for fear of impairing future breastfeeding satisfaction and lactation.”

More information

The American Academy of Pediatrics has more on breastfeeding.

Copyright 2020 HealthDay. All rights reserved.

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Some Main Health Conditions Associated With Erectile Dysfunction

Conventional Chinese health beliefs adopt a holistic view emphasizing the significance of environmental components in rising risk of disease. In actual fact, individuals can turn into quite hostile in the event that they really feel they are being judged by their healthcare provider. A healthy particular person additionally socialize with the individuals around him and varieties totally different kinds of relationships. When using infrared radiation for remedy the place muscle ache and different pains are treated, care needs to be taken to regulate the depth of the radiation, otherwise it can cause extreme burns.

In the United States, $ninety nine billion is spent on direct treatment for these with mental health points (Florida Council for Community Psychological Health). Many elements can weaken the physique’s resistance towards germs, including local weather, meals additives, anger, worry, unhealthy ideas, insincerity, stress, age, unhealthy surroundings, and even supernatural spirits.

The American Heart Affiliation states that meals that comprises excessive fiber content material plays a key role in decreasing blood pressure and lowering ldl cholesterol. As little as quarter-hour a day of train that makes you breathless will significantly enhance the health of the center.

Without education, Hawaii will proceed to gain weight by eating unhealthy foods (like a plate lunch). However, it ranked forty four out of 51 for access exhibiting that the state is likely one of the worst in providing entry to mental health care (Nguyen).

If you receive report in the beginning of your shift the very first thing it is best to do is go set up contact together with your sufferers and determine which ones are having pain and need intervention at that very second. Additionally, many hospitals present incentives to recruit a doctor or other health care skilled to hitch the hospital’s medical employees and supply medical companies to the encircling community.…

Wholesome Diets, Medicines, Ailments, & Conditions

Medication that affect gastrointestinal perform could also be additional categorized as medicine for the remedy of peptic ulcer, anti-diarrheal, laxatives, digestants, and anti-emetics. Treatment consisted of giving the affected person an emetic to induce vomiting, or they would take away excess blood.

Exams which are performed on animals range from them being compelled to ingest completely different family cleansing merchandise and then monitored to see the outcomes and new cosmetics positioned on their pores and skin to seek out out if there are any negative effects that would be dangerous to a human.

On the flipside, the consumerist mannequin is where consumers have excessive control over their therapies while physicians have low management – think about sufferers now being able to seek second opinions, choose their docs, have interaction in alternative and biomedical treatments on the similar time.

Maintain them in front of you and focus on the stability of your male self (right)and your female self left(left)and observe silently the connection or lack of connection between the feminine and the male and above, To assist steadiness them you may call upon the medicine of the creature separately Be sure to enter the silence and permit the animal to speak.

But in Roman occasions it was much more important, and the amount of things the folks did with olive oil may very well be stunning. Now that you’ve got a greater understanding of the plant sources of medicine, let’s transfer on to the animal and mineral sources. Decide the shoppers present treatment is efficient for the pain relief particularly if the affected person has taken the ache medicine all day with no relief.…