Senate Republicans release revised Trumpcare bill

(Reuters) – Senate Republican leaders, aiming to salvage efforts backed by President Donald Trump to dismantle the Obamacare law, on Thursday unveiled revised healthcare legislation that lets insurers sell bare-bones policies and retains key taxes on the wealthy. U.S. Senate Majority Leader Mitch McConnell, known as a skillful tactician, released the updated legislation in a bid to unite disparate Republican factions and make good on his party’s 7-year mission to gut Democratic former President Barack Obama’s signature legislative achievement. The proposal replaces an earlier one that deeply divided Trump’s fellow Republicans, who control the Senate, drawing opposition from both moderates and hard-line conservatives. McConnell has planned for a vote on the new bill next week. The revised plan included conservative Senator Ted Cruz’s proposal to let insurers offer stripped-down, low-cost healthcare plans that do not comply with Obamacare regulations to cover certain health benefits. Those benefits include maternity and newborn care, mental health services and addiction treatment, outpatient care, hospitalization, emergency room visits and prescription drugs. Insurer groups, including the national Blue Cross Blue Shield Association, have derided these “skinny plans,” saying they would raise insurance premiums, destabilize the individual insurance market and undermine protections for pre-existing medical conditions. The legislation retai...
Source: Mass Device - Category: Medical Devices Authors: Tags: Healthcare Reform Source Type: news

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AbstractThe U.S. is in the midst of an opioid epidemic. At the same time, tobacco use remains the leading cause of preventable death and disability. While the shared biological underpinnings of nicotine and opioid addiction are well established, clinical implications for co-treatment of these two substance use disorders has not been emphasized in the literature, nor have researchers, clinicians, and policy makers adequately outlined pathways for incorporating co-treatment into existing clinical workflows. The current brief review characterizes the metabolic and neural mechanisms which mediate co-use of nicotine and opioids...
Source: The Journal of Behavioral Health Services and Research - Category: Psychiatry & Psychology Source Type: research
Mental health services in Italy, as in the United States, have undergone significant changes because of the COVID-19 pandemic. In anarticle inJAMA Psychiatry, leaders from the Departments of Mental Health and Addiction in Lombardy describe several lessons learned during the COVID-19 crisis and unknowns about the long-term mental health of the population.Italy has a National Mental Health System divided into 134 Departments of Mental Health and Addiction, 27 of which are in Lombardy. While mental health care in Italy is available to all, changes to hospital psychiatric wards, day facilities, outpatient clinics, and home vis...
Source: Psychiatr News - Category: Psychiatry Tags: COVID-19 Departments of Mental Health and Addiction e-health services Giovanni de Girolamo Italy JAMA Psychiatry Lombardy mental health services psychosocial support stress Source Type: research
Abstract In 2018, the Trump Administration took the unprecedented step of allowing states to impose work requirements as a condition of Medicaid eligibility. States can apply for a demonstration waiver to require Medicaid beneficiaries aged 19-64 who do not meet exemption criteria (e.g., disability, caring for a sick relative) to participate in "community engagement" activities, which include employment, volunteering, and enrollment in a qualifying education or job training program. Debate thus far has focused primarily around the important issue of whether such requirements are legal. Less attention has...
Source: The American Journal of Drug and Alcohol Abuse - Category: Addiction Authors: Tags: Am J Drug Alcohol Abuse Source Type: research
This study confirms that only 2% of admissions were prepared by the cantons and that the revised law did not affect the length of hospitalization (41).The 1991 Swedish law on Psychiatric Compulsory Care established mandatory criteria for involuntary treatment: the establishment of a severe mental disorder, an absolute (essential) need for care, the patient refuses or cannot make a full judgment on the need for care, and there is a risk of harming themselves or others due to the severe mental disorder (42, 43). A decision on admission for compulsory care may not be taken without a medical certificate by a doctor in public s...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
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Source: blog.bioethics.net - Category: Medical Ethics Authors: Tags: Health Care syndicated Source Type: blogs
What is Fentanyl? According to the National Institute on Drug Abuse, Fentanyl is a powerful synthetic opioid analgesic that is similar to morphine, but is 50 to 100 times more potent. It is a schedule II prescription drug, and it is typically used to treat patients with severe pain, for side effects surrounding aggressive cancer treatments or to manage pain after major surgery. It can be administered as an injection, a transdermal patch or as a lozenge. Under the medical supervision of a professional, there is little risk for addiction. However, that is not to be overlooked, as any exposure to Fentanyl at all will run the ...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction Recovery Addiction to Pharmaceuticals Detox Resources for Alcohol and Drugs/Opiates Drug Rehab Information Drug Treatment Heroin Medical Substance Abuse Synthetic drug abuse drug abuse epidemic fentanyl opioid Source Type: blogs
Physicians should routinely ask patients about firearms in their home and whether guns are locked and safely stored, writes James S. Kahn, M.D., a professor of medicine at Stanford University, in aneditorial published today in theAnnals of Internal Medicine. The editorial was published alongside aposition paper from the American College of Physicians on reducing firearm injuries and deaths in the United States.“Firearm-related violent death is an extraordinary problem made even more alarming by the prevalence of guns in the households of persons with dementia and the variation in firearm injuries related to racial di...
Source: Psychiatr News - Category: Psychiatry Tags: Annals of Internal Medicine firearm violence gun safety guns James S. Kahn Source Type: research
See something of interest? Please share our postings with colleagues in your institutions! Spotlight September is National Preparedness Month. Disasters Happen. Prepare Now. Learn How. This week: Learn Life Saving Skills. Member Highlights: Let us shine a spotlight on the amazing work you do! NNLM MAR is always interested in learning about health outreach projects and activities that are happening in Pennsylvania, New York, New Jersey and Delaware. Share your story with us to receive a Member Highlight on the MARquee! National Network of Libraries of Medicine News Funding Available: NNLM MAR has funding available for ...
Source: NN/LM Middle Atlantic Region Blog - Category: Databases & Libraries Authors: Tags: Weekly Postings Source Type: news
THURSDAY, Aug. 30, 2018 -- The consequences of the opioid epidemic may be more far-reaching than thought. New research suggests that children who experience drug withdrawal after birth may be at risk of educational disabilities between the ages of 3...
Source: Drugs.com - Daily MedNews - Category: General Medicine Source Type: news
A  story in today’s Wall Street Journal discusses the latest report from the Organization for Economic Cooperation and Development on ”prime age” (25-54) labor-force participation rates among its 35 member countries through the last quarter of 2017. While the US rate has improved, it remains below the average OECD rate, lagging behind such developed countries as Japan and the UK. What’s puzzling is why the authors of the report decided to weigh in on the opioid overdose issue.Noting that per capita opioid prescriptions in the US are “significantly higher” than in othe...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
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