Secretary Pulls Cover Off the Work of Government Medical Panel

/PRNewswire/ -- U.S. Health and Human Services Secretary Kathleen Sebelius is to be commended for publicly stating the government panel opposing mammograms is "an outside independent panel of doctors and scientists who ... do not set federal policy and ... don't determine what services are covered by the federal government."

ZERO - The Project to End Prostate Cancer has long criticized this panel, known as the U.S. Preventive Services Task Force (USPSTF), for being out of touch due to its steadfast opposition to recognize the need for prostate cancer early detection as an important men's health issue.

Now, this panel is criticizing the need for mammograms.

Based on its advisory opinions on both breast cancer and prostate cancer, USPSTF has created much confusion among millions of women and men who are now being told that preventive health measures should not be followed as a means to detect cancer.

"Prostate cancer is essentially 'the forgotten illness' as far as this outside government panel is concerned," said ZERO's CEO Quentin "Skip" Lockwood.

"We're pleased the Secretary is speaking up in defense of a woman's right to continue receiving mammograms to protect her health," he said.

"We now call upon the Secretary to address the importance of prostate cancer early detection for men as well, since USPSTF has turned its back on this issue."

Advocates for mammograms and prostate cancer testing also question the membership of the USPSTF panel due to the glaring omission of medical specialists relating to women's and men's health in the fields of radiology, oncology and urology, for example.

Earlier today, the American College of Radiology called upon the Secretary to ensure the panel included "experts from the areas on which they will be advising lawmakers and submit their recommendations for comment and review," as is done with Medicare guidelines.

Ironically, the supporting data used by USPSTF does indicate mammography screening reduces breast cancer deaths by 15 percent annually. For prostate cancer, USPSTF references an ongoing screening study where early detection (using the PSA test) has so far reduced deaths by 20 percent.

"It's obvious this government panel has some explaining to do and hopefully, with prodding from the Secretary, we will get some answers to explain their contradictory position," Lockwood said.

Similarities between breast and prostate cancer data in the U.S. are striking. Each is the most frequently diagnosed noncutaneous cancer and the second leading cause of cancer death for their gender. In 2009, new cases of each cancer were at about 194,000. One in six men is struck with prostate cancer annually; for breast cancer, it's one in eight women.

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AHIP Statement on Affordable Health Care for America Act

/PRNewswire/ -- Karen Ignagni, President and CEO of America's Health Insurance Plans (AHIP), released the following statement today in response to the Affordable Health Care for America Act:

"The promise of health care reform has been that if you like your current coverage, you can keep it. We are concerned that this proposal will break this promise by increasing health care costs for families and employers across the country and significantly disrupting the quality coverage on which millions of Americans rely today.

"The lack of system-wide cost containment is a missed opportunity. Without a greater focus on health care costs, families and employers will not be able to afford coverage and health care costs will rise at a rate much faster than the overall economy is able to sustain.

"We share the concerns that doctors, hospitals, employers, and patients have all raised about the significant disruption a new government-run plan would have on the current health care system. A new government-run plan would bankrupt hospitals, dismantle employer coverage, exacerbate cost-shifting from Medicare and Medicaid, and ultimately increase the federal deficit.

"Estimates show that a government-run plan would cause millions of people to lose their current coverage. Moreover, massive Medicare Advantage cuts would cause millions of seniors to lose their Medicare Advantage coverage altogether, while millions more would face benefit cuts and higher out-of-pocket costs.

"Health plans strongly support comprehensive, bipartisan health care reform and have proposed sweeping insurance market reforms and new consumer protections to ensure that every American has guaranteed access to affordable health care coverage. Experience in the states has shown that insurance market reforms must be paired with an effective personal coverage requirement for these reforms to work. While this legislation recognizes the key linkage of market reforms and a personal coverage requirement, more needs to be done to ensure coverage is affordable and our health care system is sustainable.

"As the process progresses, health plans will continue to work to advance bipartisan legislation this year that will cover all Americans, make coverage more affordable, and improve quality."

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HHS Unveils New Features on Flu.gov

HHS Secretary Kathleen Sebelius today unveiled several new resources on the federal government's one-stop resource for flu information -- www.flu.gov. The Web site now features a new H1N1 Flu Self-Evaluation guide for adults 18 and older along with a new Flu Myths and Facts section, which provides the public with the latest and most accurate information about the flu.

"Flu.gov is a one-stop clearinghouse for the latest news about the flu," said Secretary Sebelius. "These new resources on flu.gov will help individuals get critical information on how to protect themselves and their families from the H1N1 virus. They will also help us to get accurate information out into the public realm so people know what the facts are about the flu."

The new Flu Myths and Facts section on www.flu.gov debunks some of the myths about the H1N1 virus and vaccine, and provides accurate information on vaccinations, the flu, and public health.

The H1N1 Flu Self-Evaluation guide (http://www.flu.gov/evaluation/) on flu.gov will give individuals 18 and older more information about what they can do to take care of themselves, prevent the spread of the flu to other members of their families, and identify the warning signs of more serious flu symptoms -- symptoms that require the attention of a medical professional.

The information in the H1N1 Flu Self-Evaluation guide is designed for educational purposes only and is not a substitute for your doctor's advice. It does not capture identifiable information in any manner and is completely anonymous. Organizations providing public health education, blogs, and members of the media can add it to their Web sites.

"One way that we can help relieve some of the burden on the states and local providers this flu season is by helping people understand what the warning signs are when it comes to the flu," said Secretary Sebelius. "In addition to the Self-Evaluation guide, we have also created some
handy one-page information sheets called Flu Essentials that people can share with family, friends and neighbors."

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Federal Guidelines Encourage Employers to Plan Now for Upcoming Influenza Season

Recommendations Range from Encouraging Hand Washing to Allowing Some Employees to Stay Home

Department of Commerce (DOC) Secretary Gary Locke, Department of Health and Human Services (HHS) Secretary Kathleen Sebelius, and Homeland Security (DHS) Secretary Janet Napolitano today announced new guidance for businesses to plan for and respond to the upcoming flu season.

The guidance, released by the Centers for Disease Control and Prevention (CDC), is designed to help employers prepare now for the impact of seasonal and 2009 H1N1 influenza could have this fall and winter on their employers and operations.

Employers' plans should address such points as encouraging employees with flu-like symptoms or illness to stay home, operating with reduced staffing, and possibly having employees who are at higher risk of serious medical complications from infection work from home, according
to the CDC guidance.

It is not known whether the 2009 H1N1 influenza virus will cause more illness or more severe illness in the coming months, but the CDC recommends that everyone be prepared for influenza. Because seasonal and 2009 H1N1 influenza pose serious health threats, employers should
work with employees to develop and implement plans that can reduce the spread of flu, and to encourage seasonal flu vaccination as well as H1N1 vaccination when that vaccine becomes available.

Secretary Locke suggested businesses set the right tone in the workplace. That means implementing common sense measures to reduce the risk of spreading the flu and encouraging workers who are sick to stay home.

"The President has mobilized the federal government to get America prepared," DOC Secretary Locke said. "But government can't do it alone. For this effort to be successful, we need the business community to do its part." Making the right decisions will not only improve public
health, it also has the potential to protect economic productivity: Employees who are sick and stay home will not spread the flu in the workplace.

"This new guidance will help our private sector partners continue to prepare for the upcoming flu season to keep our economy functioning and our critical infrastructure secure," said DHS Secretary Napolitano. "Ensuring business continuity is important to our cooperative efforts to
keep Americans safe."

There are many actions that can be taken to help reduce the spread of flu. The guidance notes the importance of using these actions, including regular and frequent hand washing and routine cleaning of commonly touched surfaces.

"One of the most important things that employers can do is to make sure their human resources and leave policies are flexible and follow public health guidance,'' said HHS Secretary Kathleen Sebelius. ``If employees are sick, they need to be encouraged to stay home. If people begin to
experience flu-like symptoms at work, they should be sent home and possibly encouraged to seek medical treatment. ''

Employers should review sick leave policies and ensure employees understand them, according to the guidance. Employers should try to make sick leave policies flexible for workers who may have to stay home with ill family members or if a child's school is closed, the CDC says.

Employers should consider offering vaccine against seasonal flu, and encourage employees to be vaccinated against seasonal and H1N1 flu, the guidance says.

Employers also might cancel non-essential face-to-face meetings and travel, and space employees farther apart, the report says. And employees who are at higher risk for flu complications might be allowed to work from home or stay home if the flu is severe, it says.

"Keeping our nation's workers safe is a top priority," said Deputy Secretary of Labor Seth Harris, who participated in the announcement. "Faced with a renewed H1N1 challenge during the coming flu season, we are developing tools that will help ensure America's workers stay
healthy and our businesses remain viable."

For more information, visit www.flu.gov.

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Top 10 Facts About House Democrats' 852-Page Government Takeover of Health Care

House Democrats today (June 19) unveiled their long-awaited health care “reform” legislation, and it’s just what the American people expected: an 852-page bureaucratic nightmare that rations care, raises taxes, and empowers government bureaucrats – not patients and doctors – to make critical medical decisions.

As House Republican Leader John Boehner (R-OH) warned middle-class families and small businesses earlier today, “This plan will make health care more expensive, reduce the quality of care for millions of families and small businesses, cost American jobs, and force untold millions of Americans off their current plans and into a government-run nightmare operated by federal bureaucrats.” As Democrats prepare to defend their government takeover of health care in a series of committee hearings next week, here are the latest Top 10 facts about the House Democrats’ health care proposal:

1. Democrats’ Government Takeover Will Cost Middle-Class Families and Small Businesses Billions. Though House Democrats don’t know (or won’t say) how much their government takeover will cost, here’s what we do know: the plan will make health care more expensive and hit the middle class particularly hard with higher taxes, rationed care, and new health care costs. As millions of families and small businesses are struggling to make ends meet while making responsible choices, this plan forces those that make responsible decisions to foot the bill for those who don’t.

2. Democrats’ Government Takeover Will Cost Tens of Millions Their Current Health Care Coverage. The House Democrats’ plan could force more than 100 million Americans out of their current health care plan and onto the government rolls, according to a Lewin Group study published earlier this year. A Congressional Budget Office report on a similar plan authored by Senate Democrats that would force at least 23 million Americans off of their current plans. According to the Associated Press, even the White House admits that the President’s promises about allowing the American people to keep their health care shouldn’t be taken literally.

3. Democrats’ Government Takeover Will Cost Millions of Americans Their Jobs. The House Democrats’ plan would impose employer mandates and cost jobs by requiring some employers – especially some small businesses – to pay a new eight percent tax to Washington. The plan would also slap employers that are unable to offer coverage the government deems adequate with another new financial burden. These two new taxes will make it more difficult than ever for small business owners to reinvest in their businesses and create and retain good paying jobs. Using the economic model of the President’s own economic advisors, an employer mandate would result in 4.7 million Americans losing their jobs.

4. Democrats’ Government Takeover Will Put Bureaucrats in Charge of Key Medical Decisions. Instead of keeping patients and doctors in charge of key medical decisions, the House Democrats’ plan will give Washington the power instead. And if you’re outraged with what Washington’s done with the bailouts, just wait until you see what Uncle Sam does with your health care.

5. Democrats’ Government Takeover Will Cost Future Generations Money They Don’t Have. The House Democrats’ bill simply shifts the burden of debt from one generation to the next. Our nation can’t sustain the Medicaid and Medicare programs now. At a time when families and small businesses already are being crushed under the weight of historic debt, a new government-run program will only further add to the bill passed along to our children and grandchildren.

6. Democrats’ Government Takeover Will Cost Seniors Key Medicare Benefits and Options. In order to expand health care benefits to some seniors, House Democrats will slash coverage millions of other seniors depend on. These benefit cuts will ultimately eliminate choices for seniors.

7. Democrats’ Government Takeover Will Place a New Mandate on Individuals. The House Democrats’ plan mandates that every American buy health insurance or pay a hefty penalty to Washington equal to almost two percent of their income. This would force more Americans into government-run system that will make health care more expensive, ration care, and put bureaucrats in charge of medical decisions.

8. Democrats’ Government Takeover Will Raise Taxes on Families, Small Businesses. Energy & Commerce Committee Chairman Henry Waxman (D-CA) readily admitted that the Democrats’ health care “reform” plan would be financed with tax hikes. The Associated Press reported that, “Democrats are considering everything from taxing soda, to raising income taxes on upper income people earning more than $200,000, to a federal sales tax.” Exactly how many new taxes will there be to bankroll this government takeover? When do Democrats plan to reveal them?

9. Democrats’ Government Takeover Is a Missed Opportunity To Reduce Health Care Costs. The House Democrats’ plan does not include even a shred of medical liability reform, missing an opportunity to drive down health care costs by reducing costly, unnecessary defensive medicine practiced by doctors trying to protect themselves from trial lawyers.

10. Democrats’ Government Takeover Harms Small Businesses, Costs Jobs. The House Democrats’ plan uses the amount of an employer’s annual payroll to define “small business,” which is troubling news for millions of Americans who depend on these engines of economic growth. Based on the Democrats’ definition of small businesses only those with, on average, less than 10 employees will be spared from new taxes through employer mandates. This leaves a huge number of small businesses to deal with the onerous and expensive mandates of the House Democrats’ government defined health benefit plan (“small businesses” are traditionally defined as employing less than 500 people). These small businesses employ 47.3 million employees and provide those employees $1.7 trillion in wages annually. The House Democrats’ new employer mandate and taxes on these businesses will make it more difficult to retain these jobs and wages.

Rationing care, raising taxes, and putting bureaucrats in charge of key health care decisions is not “reform.” There is a better way. Led by Rep. Roy Blunt (R-MO) and his Health Care Reform Solutions Group, House Republicans have outlined a plan to expand access to affordable, quality care regardless of pre-existing conditions; protect Americans from being forced into a government-run plan, making certain that medical decisions are made by patients and their doctors, not Washington bureaucrats; and let Americans who like their health care coverage keep it, while giving all Americans the freedom to choose the plan that best meets their needs. Will Democrats barrel ahead with their costly government takeover? Or will they heed the President’s words to bring all stakeholders to the table to ensure real health care reform?

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Completely Predictable: Cholera in Zimbabwe

Zimbabwe’s cholera crisis, which has caused more than 1,900 deaths, is a “manmade disaster” caused by President Robert Mugabe’s government, according to a January 13 report by Physicians for Human Rights (PHR), co-authored by Johns Hopkins Bloomberg School of Public Health researcher Chris Beyrer, MD, MPH ’90.

The report, which presents qualitative data derived from interviews with health care workers, engineers, school teachers, NGO and UN representatives, and other officials in the country, attributes the epidemic to Mugabe’s intentional neglect of water treatment and sanitation services, which have fallen into severe disrepair since he was accused of electoral fraud and political violence during run-off elections this summer.

Beyrer, director of the Johns Hopkins Center for Public Health and Human Rights, gathered data in Zimbabwe with three other PHR physicians during a covert five-day visit to the country in mid-December. Escorted by a group of Zimbabwean doctors, Beyrer and colleagues, in-country on tourist visas, toured four provinces, in both rural and urban locations. The general hospitals were “bolted closed,” said Beyrer, the cholera hospitals were under tight surveillance, and the mission hospitals were stretched beyond the point of being able to deliver medical supplies or even running water.

“Zimbabwe offers a classic lesson in public health,” said Beyrer. “When government neglects its basic functions, citizens die. The cholera epidemic in Zimbabwe is completely predictable and preventable. It’s the outcome of the collapse of the most basic water and sanitation measures.”

The health care infrastructure in Zimbabwe has been deteriorating since 2000, when Mugabe began a “land reform” program that undermined the nation’s agriculture industry and crippled the economy. After the disputed polls this summer and a UN order to share power with his political rival in September, Mugabe became proactive in his punishment of Zimbabweans. According to Beyrer, professor of Epidemiology, Mugabe created an extreme breakdown of the health care system.

“You can’t mistake the stench of the sewage,” said Beyrer. In all provinces visited, he and his colleagues observed ruptured sewage pipes and garbage that lines the dirt roads alongside ditches. “There’s open sewage,” said Beyrer. “In some towns, citizens have built walls of garbage—the garbage hasn’t been collected in months.”

The outlook for cholera in the country is grim. The monsoon rains are just beginning in Zimbabwe now, after five months of a cholera crisis, and Beyrer expects the epidemic to worsen.

As a stopgap measure, said Beyrer, aid groups can provide medicine and food. But the crisis may intensify to a degree that the international community would intervene in Zimbabwe against Mugabe’s wishes, acting on a controversial concept known as Responsibility to Protect (a UN-endorsed concept that obligates the international community to respect, protect and fulfill nations’ rights to sovereignty).

A telling footnote to the cholera story, said Beyrer, is the prevalence they observed, among Zimbabweans, of pellagra, a vitamin deficiency disease precipitated by a carbohydrates-only diet. Health officials in Zimbabwe are not allowed to report malnutrition, because no one is supposed to be starving in Zimbabwe, the nation formerly known as “the breadbasket of the world.”

“All of this is evidence of why good government is so central to public health,” said Beyrer. “The basic functions of public health really are state functions. When a state ceases in that, public health fails.” — Christine Grillo

Read In Zimbabwe, a Cancer Called Mugabe, by Chris Beyrer and Frank Donaghue, in the Washington Post.

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