" Deaths of Despair " in the U.S. Require Broad Federal Policy Initiatives

It seems to me that there has been relatively little written about the current major public heath crisis in the U.S., the opioid epidemic and deaths of despair. (see:Every American family basically pays an $8,000 ‘poll tax’ under the U.S. health system, top economists say)...[Princeton University economists Anne Case and Angus Deaton] have risen to prominence in recent years for their work on America ’s “deaths of despair.” They discovered Americans between the ages of 25 and 64 have been committing suicide, overdosing on opioids or dying from alcohol-related problems like liver disease at skyrocketing rates since 2000. These “deaths of despair” have been especially large among white Americans without college degrees as job options have rapidly declined for them. Their forthcoming book, “Deaths of Despair and the Future of Capitalism,” includes a scathing chapter examining how the U.S. health-care system has play ed a key role in these deaths.The authors call out pharmaceutical companies, hospitals, device manufacturers and doctors for their roles in driving up costs and creating the opioid epidemic.Why is the opioid crisis not the subject of intense debate in the public health community and among state and national politicians for solutions beyond limitations on opioid prescriptions (see: Overwhelmed by all the multi-million dollar opioid settlements? Here's everything you need to know)? The root causes of this p...
Source: Lab Soft News - Category: Laboratory Medicine Authors: Tags: Medical Consumerism Medical Research Medicolegal Issues Pharmaceutical Industry Population Health Preventive Medicine Public Health Source Type: blogs

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Conclusion: Healthcare providers observed in this study follow depression treatment guidelines and ensure medications are given an adequate trial. PMID: 32214519 [PubMed - in process]
Source: Psychopharmacology Bulletin - Category: Psychiatry & Psychology Tags: Psychopharmacol Bull Source Type: research
Conclusions: While this is a very small sample, asenapine appears to have a beneficial effect on both depression and anxiety in depressed bipolar I patients compared to treatment with placebo. Due to the large fraction of subjects with the short form, the hypothesis that the SF-5HTTR might increase asenapine response could not be adequately tested. PMID: 32214517 [PubMed - in process]
Source: Psychopharmacology Bulletin - Category: Psychiatry & Psychology Tags: Psychopharmacol Bull Source Type: research
This article describes performance of a mediolateral episiotomy in a situation of fetal bradycardia. Technical aspects of the incision and repair are described, and outcome data and knowledge gaps are summarized. Implications for practice, clinical competency, and education are reviewed.
Source: Journal of Midwifery and Women's Health - Category: Midwifery Authors: Tags: Clinical Rounds Source Type: research
Authors: Rudy HL, Cho W, Oster BA, Tarpada SP, Moran-Atkin E Abstract Study Design: Retrospective cohort study. Purpose: To determine the effects of massive weight loss on perioperative complications after lumbar fusion surgery (LFS). Overview of Literature: Patients who are obese are more likely to experience low back pain, which would require LFS. Nonetheless, they have a higher risk of perioperative complication development compared with individuals who are not obese. Methods: Patients who underwent LFS at hospitals that participated in the National Surgical Quality Improvement Program database withi...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Conclusions: This study demonstrated that the use of CDR continued to increase. The most common complication was mechanical and/or bone-related, and cost analysis demonstrated no significant difference between inpatient and outpatient CDR. PMID: 32213792 [PubMed - as supplied by publisher]
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
We present a case series to illustrate a new treatment paradigm utilizing front line EMS Paramedic units and high dose buprenorphine to treat withdrawal symptoms with next day bridge to long term care. The three patients described are exemplary cases, meant to represent overall characteristics of the intervention prior to complete data collection. Each patient was revived from opioid overdose with naloxone. Paramedics then treated each patient with 16 mg of buprenorphine to relieve and prevent withdrawal symptoms. Patients were provided with outpatient follow up irrespective of ED transport. To the best of our knowl...
Source: Prehospital Emergency Care - Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Mali records first death ahead of election and Trump considers New York quarantine. This blog is now closedCoronavirus – latest updatesSee all our coronavirus coverage11.55pmGMTI ’ll be handing over to my colleagues in Australia shortly, but before I go, here’s a summary of the key coronavirus developments in the last few hours:Related:Coronavirus live news: Trump proposes 'quarantine' of New York and other hotspots11.18pmGMTBritons stranded in New Zealand are facing costs of £40,000 to return home, my colleagueMark Townsend reported.Those stranded say they have been left without guidance or assista...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Coronavirus outbreak World news US news UK news Hong Kong Japan China Australia news Asia Pacific Infectious diseases Science Source Type: news
If you were to sum up the overall health of a nation in one single number, what would that be? At the top of the list, you would likely find average life expectancy — the total number of years, on average, that a person in a country can expect to live. Wars, famine, and economic crises are expected to lower life expectancy. Breakthroughs in science, strong economies, and behaviors like eating a healthy diet, exercising, and avoiding tobacco typically raise average life expectancy. An amazing rise, a surprising fall Between 1959 and 2014, the United States experienced an unprecedented increase in life expectancy, whic...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Addiction Health Health care disparities Men's Health Women's Health Source Type: blogs
By JEFF GOLDSMITH Donald Trump’s stunning upset victory has occasioned a lot of searching among political analysts for an underlying explanation for the unexpected turn in voter sentiment. Many point to Trump’s galvanizing support among white working class and middle income Americans in economically depressed regions of the US- particularly Appalachia and the upper middle west “Rust Belt” – as the main factor that put him in office. While the Democrats concentrated on the so-called “coalition of the ascendant”- voter groups like Hispanics and Millennials that are growing, Trump ro...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: blogs
The news that mortality is increasing among middle-aged white Americans spread like wildfire last week (see here and here and here) thanks to a study by Anne Case and Angus Deaton, who recently won the Nobel Prize in Economics. As researchers who study the social determinants of health, we were very pleased to see such widespread interest in this urgent national problem. Unfortunately, there are a couple of pieces of the puzzle that we think the Case and Deaton study missed. By not looking at men and women separately, Case and Deaton failed to see that rising mortality is especially pronounced among women. The au...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Equity and Disparities Featured Population Health Public Health alcohol abuse drug abuse low-income women mortality rates safety net programs Social Determinants of Health Women's Health Source Type: blogs
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