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First Confirmed Case Of 2009 H1N1 Flu In Navajo County
Navajo County Public Health Services District officials announced today the first case of 2009 H1N1 in Navajo County. The Arizona Department of Health Services Lab confirmed that an 18 year old patient at Little Colorado Medical Center tested positive for the illness. The patient has subsequently been treated and released.
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Kaiser Daily Health Policy Report Feature Highlights Recent Blog Entries
"Blog Watch" offers readers a roundup of health policy-related blog posts.The blogosphere is buzzing about the GOP "alternative" health reform proposal from Sens. Richard Burr (N.C.), Lamar Alexander (Tenn.) and Tom Coburn (Okla.), and Reps. Devin Nunes (Calif.) and Paul Ryan (Wis.). Known as the Patients" Choice Act (.pdf), it would create state-based private health insurance exchanges and provide U.S. residents tax credits to subsidize coverage premiums. Yuval Levin of conservative stalwart The Corner calls the plan "the best comprehensive health care proposal Republicans have produced to date, and shows that at least some in the party understand the need to engage the issue with a grasp of the differences between underlying problems (like cost control) and symptoms of those problems (like access to coverage), and with an actual appreciation for economic incentives and pressures." Marguerite Higgins of the Heritage Foundation"s The Foundry says the plan "features several important conservative principles for health care reform that would allow free-market solutions to take root in the broken U.S. health care system, and give patients more decision-making power with their health care dollars."But Michael Cannon of the libertarian Cato@Liberty blog says he is "troubled" by aspects of the plan that are "self-contradictory." He writes, "On the one hand, it lists "No Tax Increases" as a core concept. Do its authors not know that imposing price controls on health insurance premiums imposes a tax on healthier-than-average consumers? And where do they think the money for "risk-adjustment" payments will come from? Heaven?" The New Republic"s Jonathan Cohn seems to agree, saying, "The details are pretty unappealing, except where there are none; and the whole thing is presented as the antithesis of big government when, in fact, it too would require at least some government intervention." Overall Cohn thinks the plan indicates good news for Democrats, concluding, "Passage of a bill seems ever more likely, to the point where potential opponents feel they must offer alternatives that embrace some of the same concepts."The Washington Post"s Ezra Klein examines the structure of the plan, calling it "the bastard child of the Massachusetts health reforms and the McCain campaign proposal." He also seems to think it"s positive news for reformers, adding, "But it"s still a step forward for the Republican Party. It"s an admission that individuals can"t go it alone. That the state has a large and important regulatory role to play. The business model of insurers is not simply broken but actively cruel. A Republican Party that accepts the principles of this plan is a Republican Party that is much likelier to accept the principles of Obama"s eventual plan." He notes that GOP leadership was not involved in the proposal.Interesting elsewhere:
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New Family-Focused Model Of Depression Care Needed To Minimize Risks And Problems For Parents With Depression And Their Children
Health and social service professionals who care for adults with depression should not only tackle their clients" physical and mental health, but also detect and prevent possible spillover effects on their children, says a new report from the National Research Council and Institute of Medicine. To achieve this new family-focused model of depression care, federal and state agencies, nonprofits, and the private sector will have to experiment with nontraditional ways of organizing, paying for, and delivering services, said the committee that wrote the report.
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Harvard Researchers Say Insurers Put Profits Over Health

More than a decade after Harvard researchers first revealed that life and health insurance companies were major investors in tobacco stocks - prompting calls upon them to divest - the insurance industry has yet to kick the habit, they say. A new article on insurance company holdings, published in the New England Journal of Medicine, shows that U.S., Canadian and U.K.-based insurance firms hold at least $4.4 billion of investments in companies whose subsidiaries manufacture cigarettes, cigars, chewing tobacco and related products. Tobacco products currently contribute to the deaths of 5.4 million people worldwide annually, according to the World Health Organization. Tobacco use is a major risk factor for stroke, heart attack, lung disease and cancer. "Despite calls upon the insurance industry to get out of the tobacco business by physicians and others, insurers continue to put their profits above people"s health," said Dr. J. Wesley Boyd, the lead author of the article. "It"s clear their top priority is making money, not safeguarding people"s well-being." To illustrate their point, Boyd and his colleagues point to Newark, N.J.-based Prudential Financial Inc., which sells life insurance and long-term disability coverage. With total tobacco holdings of $264.3 million, Prudential Financial is a major investor in three tobacco firms, including Reynolds American, whose subsidiary R.J. Reynolds manufactures Camel and Pall Mall cigarettes, and Philip Morris, maker of the popular Marlboro brand. Sun Life Financial Inc., based in Toronto, sells life, health, disability and long-term care insurance. It also owns slightly over $1 billion in stock in two tobacco companies, including $890 million in Philip Morris. London-based Prudential Plc, which offers health, disability, and long-term care insurance, has holdings of $1.38 billion in two tobacco companies, including British American Tobacco, which markets Kent and Lucky Strike cigarettes. The researchers also itemize the substantial tobacco holdings of Northwestern Mutual of Milwaukee and Massachusetts Mutual Life of Springfield, Mass., along with those of Standard Life Plc, a health and life insurer based in Edinburgh, Scotland. Boyd and his co-authors, Drs. David Himmelstein and Steffie Woolhandler at the Cambridge Health Alliance and Harvard Medical School, culled their data from Osiris, a proprietary database of industrial, banking and insurance companies. Osiris draws upon Securities and Exchange Commission filings and news reports from providers like Dow Jones and Reuters. "Although investing in tobacco while selling life or health insurance may seem self-defeating," the authors write, "insurance firms have figured out ways to profit from both. Insurers exclude smokers from coverage or, more commonly, charge them higher premiums. Insurers profit - and smokers lose - twice over." The same researchers, all of whom are affiliated with Physicians for a National Health Program, first published data about the "tobacco-insurance company connection" in 1995 in the medical journal Lancet. They say that because private, for-profit insurers have repeatedly put their own financial gain over the public"s health, readers in the United States, Canada and the United Kingdom should be wary about insurance firms" participation in care. They add, "These data raise a red flag about the prospects of opening up vast new markets for private insurers at public expense, as has happened in our state of Massachusetts, whose recent health care reform is often cited as a model for national reform." Copies of the study are available at http://pnhp.org/tobacco/tobacco_article.pdf Reference: "Insurance industry investments in tobacco," J. Wesley Boyd, M.D., Ph.D.; David U. Himmelstein, M.D; Steffie Woolhandler, M.D., M.P.H. New England Journal of Medicine, June 4, 2009. Mark Almberg Physicians for a National Health Program


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