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Insurers Struggle In Downturn As Senators Consider Adding New Tax
"Earnings from the nation"s big health insurers show signs of a new uptick in medical costs related to the recession: As unemployment rises, people who have lost their jobs or are fearful of losing them are rushing to see doctors to get medical tests before their benefits expire," the Wall Street Journal reports. WellPoint, the nation"s largest insurer by volume, reported a 7.6 percent dip in profits and the loss of 338,000 members in the second quarter, further illuminating the trend. Other insurers have experienced similar patterns in which policyholders are seeking more - and more expensive - health services.
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Obama Urges Swift Confirmation Of Sotomayor; GOP Mulls Opposition Strategy
President Obama on Tuesday in his official announcement of his nomination of Judge Sonia Sotomayor of the Second Circuit Court of Appeals to the Supreme Court emphasized what he called her "extraordinary journey" from a modest background to the top of the judiciary, launching a "confirmation battle that he hopes to wage over biography more than ideology," the New York Times reports. If confirmed, Sotomayor would be the first Hispanic and the third woman to serve on the court, as well as the sixth of the court"s current members with a Roman Catholic background, the Times reports (Baker/Zeleny, New York Times, 5/27). Sotomayor would replace retiring Justice David Souter, who typically is a liberal vote on social issues, the Wall Street Journal reports. Therefore, the addition of Sotomayor would not likely change the ideological balance of the court (Bravin/Koppel, Wall Street Journal, 5/27). The Washington Post reports Obama in his remarks cast Sotomayor "as the embodiment of the qualities he seeks in a judge," including superior intelligence, an understanding of the limited role of the judiciary and what he called "an understanding of how the world works and how ordinary people live" (Barnes/Fletcher, Washington Post, 5/27). The president said he wants Sotomayor to be confirmed before the Senate leaves in August for its summer recess, so she can join the court in time for its September review of potential cases. White House Press Secretary Robert Gibbs said that the Senate has "ample time" to complete the confirmation process, as the average time span is 72 days and there are 74 until the recess (Koffler, Roll Call, 5/26). Senate Judiciary Committee Chair Patrick Leahy (D-Vt.) praised Obama"s decision, calling Sotomayor"s record "exemplary" and her nomination "historic." Leahy noted that both former President George H.W. Bush and former President Clinton nominated Sotomayor to federal judgeships, adding, "She has been nominated by both Democratic and Republican presidents, and she was twice confirmed by the Senate with strong, bipartisan support" (Stanton, Roll Call, 5/26).Rulings on Abortion Rights Throughout her career as a federal judge, Sotomayor has not issued what are considered major decisions regarding abortion rights, although her record on cases involving civil and social rights issues appear "more liberal than not," according to the New York Times (Liptak, New York Times, 5/27). Politico reports that Sotomayor has ruled in favor of antiabortion-rights groups in two cases. The first case occurred in 2002 when she sided with the Bush administration in its efforts to implement the "global gag rule," which banned federal funding for international family planning groups that offer abortion services or information with their own funds. Sotomayor ruled that the government had the right to decide how to spend its funding. In 2004, Sotomayor ruled in favor of antiabortion-rights protesters who alleged that they were brutalized while being arrested in West Hartford, Conn. (Gerstein/Javers, Politico, 5/26). Gibbs said that Obama did not ask Sotomayor about issues related to abortion during her vetting and there was "no litmus test" on abortion-rights issues (Koffler, Roll Call, 5/26).Obama"s announcement was well-received by many groups that support abortion rights. NARAL Pro-Choice America President Nancy Keenan said the group is anticipating more information about Sotomayor"s views on abortion rights and the right to privacy. She added that the group is "encouraged by the strong support she receives from her peers and other legal scholars and the fact that the Senate has twice confirmed her for federal judgeships" (Posner, Congress Daily, 5/26). Kim Gandy, president of the National Organization of Women, said that Sotomayor "brings a lifelong commitment to equality, justice and opportunity, as well as the respect of her peers, unassailable integrity and a keen intellect informed by experience." Gandy added that Obama "said he wanted a justice with "towering intellect" and a "common to
News of the day
Media Looks At Surgeon General Nominee's Potential Influence On HIV/AIDS, Other Health Issues
The AP/Lexington Herald-Leader on Tuesday examined the nomination of Alabama physician Regina Benjamin for U.S. Surgeon General by President Obama, the history of the position and how former Surgeon Generals have addressed health issues such as HIV/AIDS (Stobbe, 7/14). According to Advocate.com, "During her speech accepting the nomination, Benjamin acknowledged her familiarity with HIV complications and issues, as her brother died at the age of 44 of an HIV-related illness. Having such a personal experience, especially a loss, due to HIV/AIDS could have a strong impact on her policy and public health campaigns, [Phil Curtis, director of government affairs at AIDS Project Los Angeles], told Advocate.com on Tuesday." The article states, "Curtis said that Benjamin has the ability to reach out to communities that have been largely underserved by efforts to reduce the rate of infection," and she "will also be able to contribute to Congress"s current debate on health care policy, including strategies for early HIV prevention, and accessibility to prescription drugs" (Garcia, 7/14).
Mental Health

New Severe Asthma Treatment, Bronchial Thermoplasty, Uses Radiofrequency Energy To Improve Patient Quality Of Life

Chronic asthma sufferers may find new relief in a simple, minimally invasive outpatient procedure known as bronchial thermoplasty, which uses controlled radiofrequency-generated heat to treat the muscles of the airways, preventing them from constricting and narrowing. The study, which was approved by the Food and Drug Administration (FDA), marks the most recent phase of investigational trials of the Alair System, the device used in the bronchial thermoplasty procedure. If approved, it would become the first non-pharmaceutical therapy to effectively treat severe asthma. Results of the multi-center study of Alair, which is manufactured by Asthmatx, will be presented on Monday, May 18, during the 105th International Conference of the American Thoracic Society in San Diego. "The research we will be presenting was part of the pivotal clinical study designed for submission to the FDA, which provides evidence supporting the effectiveness and safety of the Alair system when used in the bronchial thermoplasty procedure," said lead author Mario Castro, M.D., M.P.H., professor of medicine and pediatrics at Washington University School of Medicine. Researchers at 30 sites in six countries enrolled 297 patients with severe asthma to participate in the trial. Participants all of whom continued to experience asthma symptoms, despite high doses of asthma medications were split into two subgroups. Patients in the control group were randomly assigned to receive a placebo or "sham" treatment, meaning that while they underwent the procedure, no heat was applied. Researchers used a quality-of-life scale to measure the results at six months, nine months and one year. Overall, 79 percent of the patients in the experimental group who were treated with bronchial thermoplasty experienced a statistically significant and clinically meaningful improvement in their quality-of-life measurements. "Following a procedure, patients treated with bronchial thermoplasty experience persistent asthma control over the year following treatment, based on improvement in the asthma quality of life, a significant reduction in rates of severe asthma attacks and a reduction of emergency room visits for respiratory symptoms," Dr. Castro noted. According to the American Lung Association, more than 20 million Americans have asthma, and asthma attacks result in about ten million unscheduled doctor office visits, two million emergency room visits, and 4,000 deaths annually. Dr. Castro said the high level of continued commitment from all study participants underscores the need for effective asthma control in patients who suffer from severe forms of the disease. "Our high compliance rate and the fact that initially over 580 patients consented to participate in a study that included three potential sham bronchoscopy procedures certainly confirmed that this group of severe asthma patients is a very needy population for whom current therapies are inadequate," he noted. "Bronchial thermoplasty addresses an unmet medical need, offering significant advantages over the existing standard of care for patients suffering from severe asthma." American Thoracic Society (ATS)


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