Gina Keating & Carol Bishopric | Los Angeles | November 20

Reuters - A Florida jury on Thursday ordered cigarette maker Philip Morris USA to pay $300 million in damages to a 61-year-old ex-smoker named Cindy Naugle who is wheelchair-bound by emphysema.

The Broward Circuit Court jury assessed $56.6 million in past and future medical expenses against the company, part of Altria Group Inc, as well as $244 million in punitive damages.

The verdict is the largest of the so-called Engle progeny cases that have been tried so far, both sides said.

Steve Connor | Nov 20

The Independent -

Revolutionary treatment using human embryos for patients with incurable blindness

People suffering from a form of incurable blindness could soon become the first patients in the world to benefit from a new and controversial transplant operation using stem cells derived from spare human embryos left over from IVF treatment.

Scientists working for an American biotechnology company yesterday applied for a licence to carry out a clinical trial on patients in the US suffering from a type of macular degeneration, which causes gradual loss of vision. They expect the transplant operations to begin early in the new year.

The development is highly controversial because many "pro-life" groups are opposed to using human embryos in any kind of medical research but scientists believe that the benefits could revolutionise the treatment of many incurable disorders ranging from Parkinson's to heart disease.

The company has applied for a licence from the US Food and Drug Administration (FDA) and is confident of its application being granted.

Brad Knickerbocker | Washington | November 18

CSM - Though the congressional debate and legislative sausage-making are far from over, the Senate took a major step Wednesday in putting forth a $849 billion healthcare reform bill.

The bill, launched by Senate majority leader Harry Reid – and vigorously opposed by Republicans – aims to provide health insurance for 94 percent of all Americans, including 31 million people now uninsured.

"The (task force) recommends against routine screening mammography in women aged 40 to 49 years." U.S. Preventative Services Task Force, Nov. 17, 2009

"My message to women is simple. Mammograms have always been an important life-saving tool in the fight against breast cancer and they still are today. Keep doing what you have been doing for years - talk to your doctor about your individual history, ask questions, and make the decision that is right for you." Kathleen Sebelius, Health and Human Services Secretary, Nov. 18.

Talk about a short news cycle. A Department of Health and Human Services (HHS) appointed "best practices" task force dismissed the value of "routine" mammograms as a cancer prevention technique for women 40 to 49 years on Tuesday, November 17.

More after the jump.

Jeremy Laurance | Lyon, France | November 16

The Independent - As the old joke has it, men can be turned on with a simple flick of a switch while women require attention to a battery of dials and buttons. Today the debate over how to stimulate female sexual desire is set to be reopened with the discovery of a drug described as “Viagra for women”.

Doctors testing a new anti-depressant found it was useless as a mood brightener - but was unexpectedly effective at boosting the female libido.

Gina Kolata | Nov 17

NYT - Most women should start regular breast cancer screening at age 50, not 40, according to new guidelines released Monday by an influential group that provides guidance to doctors, insurance companies and policy makers.

The new recommendations, which do not apply to a small group of women with unusual risk factors for breast cancer, reverse longstanding guidelines and are aimed at reducing harm from overtreatment, the group says. It also says women age 50 to 74 should have mammograms less frequently — every two years, rather than every year. And it said doctors should stop teaching women to examine their breasts on a regular basis.

Just seven years ago, the same group, the United States Preventive Services Task Force, with different members, recommended that women have mammograms every one to two years starting at age 40. It found too little evidence to take a stand on breast self-examinations.

The task force is an independent panel of experts in prevention and primary care appointed by the federal Department of Health and Human Services.

Its new guidelines, which are different from those of some professional and advocacy organizations, are published online in The Annals of Internal Medicine They are likely to touch off yet another round of controversy over the benefits of screening for breast cancer.

Julia Duin | Baltimore | Nov 16

Washington Times - Cardinal Francis George, president of the U.S. Conference of Catholic Bishops, defended the bishops' involvement in national health care legislation Monday, saying the church must be "leaven" in the debate.

Speaking at the opening of the bishops' annual business meeting, "to limit our teaching or governing to what the state is not interested in would be to betray both the constitution of our country and, much more importantly, the Lord himself," he said.

Not only did USCCB staff and individual bishops play a vital role in getting abortion restrictions into the recently passed House version of the health care overhaul bill, they served notice Monday they will influence the bill's future.

Maggie Fox | Washington | November 16

Reuters - American squeamishness about talking about sex has helped keep common sexually transmitted infections far too common, especially among vulnerable teens, U.S. researchers reported Monday.

Latest statistics on chlamydia, gonorrhea and syphilis show the three highly treatable infections continue to spread in the United States.

Shari Roan | Washington | November 16

LAT - Seventy years ago, Bill Wilson -- the co-founder of Alcoholics Anonymous -- declared his powerlessness over alcohol in a book by the same name. The failed businessman contended that, as an alcoholic, he had to "hit bottom" before changing his life and that sobriety could only be achieved through complete abstention.

For generations, Americans took these tenets to be true for everyone. Top addiction experts are no longer sure.

Local H1N1 doesn't kill everybody but looks very bad:

'We have carried out post mortems on two victims and found their lungs are as black as charcoal. They look like they have been burned. It's terrifying.'

High BPA levels linked to male sexual problems

How long before congress gets involved? ;)

New York Times, By Benedict Carey, November 9

It’s snowing heavily, and everyone in the backyard is in a swimsuit, at some kind of party: Mom, Dad, the high school principal, there’s even an ex-girlfriend. And is that Elvis, over by the piñata?

Uh-oh.

I've written this in reference to Michael Collins's diary post One More Reason to Kill this Bill and some of the confusion over sections and what is in the bill as far as coverage requirements and penalties.

I'm looking here (.pdf file) for the new Health bill and somewhere around here for the IRS Tax Code. Will post more precise links (possibly to other sources) as needed.

1) HR3962 Sec. 501 (p. 297) If you fail to purchase insurance you will pay 2.5% of (modified adjusted gross income - gross income) but, if that value is higher than the “average premium for self-only coverage under a basic plan which is offered in a Health Insurance Exchange…” you will pay that average premium instead. So, there is a cap on the 2.5%, set at the average premium of a plan on the exchange. Not sure how high that average will be. HR3962 Sec. 501 (p.298) This amount is pro-rated based upon the fraction of the year that you go without coverage.

Note that a “basic plan” is outlined in HR3962 Section 303(c) on page 168.

Modified Adjusted Gross Income is defined as adjusted gross income increased by (A) any amount excluded from gross income under section 911 of IRS Code (see the link below) and (B) any amount of interest received or accrued by the taxpayer during the taxable year which is exempt from tax.

2) HR3962 Sec 501 (p.299). For Americans living overseas, you are exempt from paying this tax if you have been living abroad and are a resident of a foreign country for at least one taxable year. Relevant IRS code is here (scroll down a bit to sec. 911(d)(1)). I assume the prorating would apply if you’ve only been living overseas for less than a year.

3) You can apparently file an exemption from the requirement to purchase insurance based upon religious beliefs, though you must document your adherence to a faith that would want this. There’s a bit more in there, starting on HR3962 Sec. 501, pages 299-300.

4) HR3962 Sec 501, p. 304. Seems to state that small lapses in coverage are not going to result in taxes. I would assume this means a few days, but I don’t see any specific numbers. The bill just calls them “de minimis lapses of acceptable coverage.”

Now, if you don’t pay the tax in point (1) above then you will be subject to normal IRS rules and regulations. I would assume this is where IRS Code sections 7201 and 7203(see links below) come in. They feature up to $25,000 in fines and no more than 1 or 5 years in jail (depending on which is applicable). I’m not sure how these are applied in practice.

So, it looks like no specific penalties are outlined in the bill, but the 2.5% is designed as a tax and so would fall under IRS rules for non-compliance.

IRS Code Section 7201
IRS Code Section 7203

Anne Eisenberg | Los Angeles | November 7

NYT - Microscopes are invaluable tools to identify blood and other cells when screening for diseases like anemia, tuberculosis and malaria. But they are also bulky and expensive.

Now an engineer, using software that he developed and about $10 worth of off-the-shelf hardware, has adapted cellphones to substitute for microscopes.

Carl Hulse & Robert Pear | Washington | November 7

NYT - Handing President Obama a hard-fought victory, the House narrowly approved a sweeping overhaul of the nation’s health care system on Saturday night, advancing legislation that Democrats said could stand as their defining social policy achievement.

After a daylong clash with Republicans over what has been a Democratic goal for decades, lawmakers voted 220 to 215 to approve a plan that would cost $1.1 trillion over 10 years. Democrats said the legislation would provide overdue relief to Americans struggling to buy or hold on to health insurance.

Geneva | November 6

Reuters - H1N1 swine flu is on the rise in China and Japan after triggering an unusually early start to the winter influenza season in Europe, Central Asia and North America, the World Health Organization said on Friday.

According to the U.N. agency's latest official toll, which is thought to underestimate the total spread of the virus, at least 6,071 people worldwide have died as a result of an H1N1 infection since its discovery earlier this year in Mexico and the United States.

Some 359 deaths were recorded in the past week, which saw a big outbreak in Ukraine as well as ongoing spread of the virus across the northern hemisphere.

The death toll in Ukraine is rapidly rising. In a country of 45 million people more than 60 people have died in a week because of some respiratory illness which could be mutated swine flu. Worse still, the epidemic area covers only a small fraction of Ukraine.

No Ukrainian laboratory is capable of testing for the presence of swine flu

If the banking crisis and the bailout wasn't enough to piss you off, watch this.

Clifford J. Levy | Mytishchi, Russia | November 11

NYT - It was late on a Monday afternoon at the drunk tank in this Moscow suburb, but it could have been any day, at any hour, at any similar facility across this land. People would come. They always do. Such is Russia’s ruinous penchant for the bottle — and the challenge facing a new government policy to curb it.

First to be escorted in by police officers was a construction worker named Damir M. Askerkhanov, who said he had been bingeing on vodka and beer — “This is my very own holiday!” — before he was found stumbling about in the cold. At 23, he admitted that he had already been picked up intoxicated twice recently. “Only even drunker,” he said.

That just about sums up the Agricultural Industrial Complex's effort to take over the Ohio Constitution on Tuesday, so they can self-regulate, because, you know, it worked out so well on Wall Street and with Enron (to name 2 of, oh, a trillion examples)...

In any case, Facebook group here. Video below. Happy Monday all!

October 31

AFP - The United States released Friday its entire stock of children's Tamiflu antivirals, a top health official said, as the pediatric swine flu toll spiked well above the annual toll for kids from seasonal flu.

"Up until now, there have been 114 laboratory-confirmed deaths among children," the director of the Centers for Disease Control and Prevention, Thomas Frieden, told a press conference, referring to swine flu.

The highest pediatric death toll from seasonal flu in the past three years was 88.

Along with the spike in child (A)H1N1 flu deaths, the US has seen "more hospitalizations in people under the age of 65 than in most entire flu seasons," Frieden said.

Susan Brinkmann | Reston, VA | October 25

The Bulletin (Philadelphia) - Harper: Controversal Drug Will Do Little To Reduce Cervical Cancer Rates

Dr. Diane Harper, lead researcher in the development of two human papilloma virus vaccines, Gardasil and Cervarix, said the controversial drugs will do little to reduce cervical cancer rates and, even though they’re being recommended for girls as young as nine, there have been no efficacy trials in children under the age of 15.

Dr. Harper, director of the Gynecologic Cancer Prevention Research Group at the University of Missouri, made these remarks during an address at the 4th International Public Conference on Vaccination which took place in Reston, Virginia on Oct. 2-4. Although her talk was intended to promote the vaccine, participants said they came away convinced the vaccine should not be received.

Eric Jackson | Washington | October 29

thestreet.com - Evan Bayh, the junior senator from Indiana, is in the middle of a heated debate in the Senate on whether a public option should be included as part of President Obama's health care reforms. An organizer of a group of so-called Senate Blue Dog Democrats, to date, Bayh's been a staunch opponent of any changes to the status quo in this debate. He's worried aloud that any public option would be a nod to socialism(..)His wife, Susan Bayh, sits on the board of WellPoint(WLP Quote) in her hometown of Indianapolis. Over the last six years, Susan Bayh has received at least $2 million in compensation from WellPoint alone for serving on its board.

October 29

BBC - A period of careful eating and regular exercise can stave off diabetes for a decade, a study suggests.

US researchers followed up nearly 3,000 overweight people who had taken part in a three year diabetes prevention programme.

The group had initially been divided into three - assigned either to a diet and exercise programme, the diabetes drug metformin or a placebo.

The Lancet report notes it was the dieters who reaped the most benefit.

Carolyn Lochhead | Washington | October 29

San Francisco Chronicle - Senate Majority Leader Harry Reid's gambit to include a government-run insurance option in health care legislation has given a fresh tailwind to the idea despite opposition from conservatives.

But lost amid the ideological battle for or against a public option is a key overlooked fact: The vast majority of Americans would have no access to a public option even under its most expansive versions.

House and Senate bills limit the option to the smallest businesses and to individuals who cannot get insurance, or whose health care costs exceed 12.5 percent of their income. Even seven years into an overhaul, an estimated 90 percent of Americans, including nearly everyone who has employer-based coverage now, would be shut out of a public option.