Good morning, and TGIF. Mississippi ranks last in women’s health and reproductive care outcomes across the United States, according to a new Commonwealth Fund scorecard, which places Massachusetts at the top. Find out how your state ranks here. Got tips? Send them to mckenzie.beard@washpost.com.
Washington
Analysis | What Families USA’s new boss brings to the table
Q&A: Where Anthony Wright wants to lead Families USA
Anthony Wright, the new executive director of Families USA, is hitting the ground running.
Last week, Wright started his new role in Washington after 22 years as executive director of Health Access California. I caught up with him to discuss his vision for one of the nation’s leading health-care advocacy organizations. Our conversation has been edited for brevity and clarity.
Health brief: Are there lessons you learned at Health Access California that you think will be helpful in Washington?
Wright: One lesson is to make sure that there’s a strong consumer voice in the crafting of health-care policy. Patients and the public are sometimes left out of these discussions, but they are the point of the health-care system and should be at the center of the conversation.
Health brief: What health policy issues do you intend to prioritize early in your tenure?
Wright: Right now, we have a government guarantee that nobody has to spend more than 8.5 percent of their income on health coverage, but that’s set to expire in the next year.
If those tax credits are allowed to expire, that would mean a spike in premiums of hundreds of dollars per month on average and potentially around 5 million Americans losing coverage. That’s a crucial policy that we need to get lawmakers on the record about as we go into this fall.
Health brief: How are you preparing for 2025 and the election aftermath?
Wright: We need to be very clear that our health care is on the ballot. There are stark differences on health care that we need to hear from our policymakers on, whether it’s reproductive health, the ACA and its future, the [expanded tax credits] or prescription drug prices.
On prescription drug prices, we could see [the federal government] either expanding both the number of drugs that we negotiate over and having those discounted prices be extended to a much broader set of payers and patients. Or we could see that power be repealed.
In terms of the ACA, it’s not just the 5 million people who could lose coverage under the expiration of those subsidies. It’s the 20 million-plus folks that might lose coverage under a total repeal … [which would bring on] spiking premiums leading the market into a death spiral.
Health brief: Is there anything you achieved in California that you’d like to see replicated on a national scale?
Wright: In California, we worked a lot on the issues of cost and value, and Families USA has also been a leader in that. We created an Office of Health Care Affordability that set a goal for health growth, which a number of states are following.
Given my background growing up in the Bronx in the poorest congressional district in the country, being a son of an immigrant from Ecuador and the grandson of immigrants from Ireland and China, and actually even being uninsured for parts of my childhood, issues of access, economic security and equity are a personal passion for me. That’s something I was happy to work on in California and want to continue doing so with this national cap.
On the Hill
Sanders, Cassidy seek subpoena vote for Steward Health CEO
The Senate Health, Education, Labor and Pensions Committee is launching an investigation into the bankruptcy of Steward Health Care, a Dallas-based company with private equity ties that owns 31 hospitals across eight states.
Chair Bernie Sanders (I-Vt.) and ranking member Bill Cassidy (R-La.) announced that the panel will vote on July 25 to subpoena Steward’s CEO, Ralph de la Torre, to testify at a Sept. 12 hearing on the health system’s financial decisions leading up to its May bankruptcy filing.
Key context: Steward is selling all of its U.S. hospitals to help offload its $9 billion debt, which includes $1.2 billion in loans, $6.6 billion in unpaid rent, nearly $1 billion in unpaid bills from medical vendors and suppliers, and $290 million in unpaid employee wages and benefits.
Steward has blamed rising interest rates, labor costs and insufficient government health insurance reimbursement rates for its bankruptcy. Newly released court documents also show that in the months leading up to the filing, top executives awarded themselves multimillion dollar payouts.
Zooming out: Steward’s bankruptcy is being probed in several states, including Massachusetts and Arizona. The health system is also under scrutiny by the Justice Department, which recently launched a criminal investigation into the company over allegations of fraud and corruption, according to Michael Kaplan of CBS News.
Steward didn’t respond to a request for comment.
The CEO of Steward Health Care is the poster child for the type of outrageous corporate greed that permeates through our health care system. It’s time for this CEO to get off his $40 million yacht and explain how much he’s gained financially while bankrupting Steward Health Care. pic.twitter.com/8tgqiyLaTP
— Bernie Sanders (@SenSanders) July 18, 2024
Agency alert
FDA allows sales of more tobacco-flavored vapes
The Food and Drug Administration is allowing R.J. Reynolds to keep several e-cigarette products on the market, my colleague Rachel Roubein reports.
Federal health officials authorized sales of seven of the company’s Vuse Alto vaping products, but only for tobacco-flavored pods.
The agency stressed the move “does not mean these tobacco products are safe.” In a statement, the FDA said the company showed the products have the potential to provide a benefit to adults who smoke cigarettes, adding that kids are less likely to use tobacco-flavored e-cigarettes compared to other flavors.
The background: Last year, the FDA denied R.J. Reynolds’s application for several menthol-flavored products, a decision the company has challenged in court. But last month, the agency authorized the first menthol-flavored e-cigarette products, manufactured by NJOY, which drew swift criticism from some public health advocates.
A government watchdog found compliance issues with federal Medicaid eligibility redetermination requirements in nearly all states, including with long-standing requirements.
Key context: A pandemic-era policy prevented Americans from being dropped from Medicaid until it expired in April 2023. This prompted states to review their ballooning rolls and remove those no longer eligible for the safety net program.
The Government Accountability Office identified several compliance issues during the so-called “unwinding.” For instance, about 420,000 eligible individuals, including children, lost coverage because states assessed household, not individual, eligibility, according to the Centers for Medicaid and Medicare Services.
- The watchdog recommended that CMS document and implement oversight practices to prevent and detect state compliance issues with redeterminations. The agency agreed with the GAO’s recommendation.
In other health news
On the move: Joel McElvain is now acting deputy general counsel at HHS, overseeing matters related to CMS. McElvain, a longtime Justice Department official, had previously been serving as HHS special counsel, working on drug-price negotiation.
Quote of the week
“I shouldn’t have to go into medical debt just to be able to live.”
— Virginia Beach resident Robyn DeChabert on a pharmacy charging her $1,700 for a Paxlovid prescription.
Health reads
At RNC convention, Republicans differ on how much to focus on abortion (By Meryl Kornfield and Hannah Knowles | The Washington Post)
What to know about cheaper, imitation weight-loss drugs (By Daniel Gilbert and Teddy Amenabar | The Washington Post)
Covid summer wave spreads across U.S., even infecting Biden (By Fenit Nirappil and Lizette Ortega | The Washington Post)
Sugar rush
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Washington
Caps Fall in Montreal, 6-2 | Washington Capitals
Cole Caufield scored in the first minute of the first period and added another goal later in the frame, sparking the Montreal Canadiens to a 6-2 win over the Capitals on Saturday night at Bell Centre.
Washington entered the game with a modest three-game winning streak and six wins in its last seven games. Although they were able to briefly draw even with the Habs after Caufield’s opening salvo, Caufield and the Canadiens responded quickly and the Caps found themselves chasing the game for the remainder of the night.
“I didn’t mind some of the things that we did tonight,” says Caps coach Spencer Carbery. “I thought we created enough offensively, we just made way too many catastrophic mistakes to be able to sustain that.”
In the first minute of the game, Caufield blocked a Jakob Chychrun point shot, tore off on the resulting breakaway and beat Charlie Lindgren for a 1-0 lead for the Canadiens, half a minute into the contest. Lindgren was making his first start since Jan. 29, following a short stint on injured reserve for a lower body injury he sustained in that game.
After the two teams traded unsuccessful power plays, the Caps pulled even in the back half of the first. With traffic in front, Declan Chisholm let a shot fly from the left point. The puck hit Anthony Beauvillier and bounded right to Alex Ovechkin, who had an easy tap-in for career goal No. 920 at 13:16 of the first.
But Montreal came right back to regain the lead 63 seconds later, scoring a goal similar to the one Ovechkin just scored.
From the left point, Canadiens defenseman Jayden Struble put a shot toward the net. It came to Nick Suzuki on the goal line, and the Habs captain pushed it cross crease for Caufield to tap it home from the opposite post at 14:19.
Less than two minutes later, Lindgren made a dazzling glove save to thwart Caufield’s hat trick bid.
Midway through the middle period, Montreal went on the power play again. Although the Caps were able to kill the penalty, the Habs added to their lead seconds after the kill was completed; Mike Matheson skated down a gaping lane in the middle of the ice and beat Lindgren from the slot to make it a 3-1 game at 12:22.
Minutes later, Montreal netminder Jakub Dobes made a big stop on Aliaksei Protas from the right circle, and Suzuki grabbed the puck and took off in the opposite direction. From down low on the right side, he fed Kirby Dach in the slot, and Dach’s one-timer made it 4-1 for the Canadiens at 16:34 of the second.
In the waning seconds of the second, Dobes made one of his best stops of the night on Beauvillier, enabling the Canadiens to carry a three-goal lead into the third.
Those two quick goals in the back half of the second took some wind out of the Caps, who were playing their third game in four nights following the three-week Olympic break.
“We kill off a penalty, and then we end up going down 3-1right after the penalty,” says Caps center Nic Dowd. “Those are challenging to give up, right? You do a good job [on the kill], it’s a 2-1 game, and then all of a sudden, before you blink, it’s 4-1 and then the game gets away from you.
“And they defended well tonight; It’s tough to score goals in this League, and you go into the third period, and you’ve got to score three. You saw that [Friday] night when we played Vegas; they were able to score two, but it’s tough to get that third one. I think we have to manage situations a little bit better. It’s a 2-1 game on a back-to-back, we just kill a penalty off, or maybe we just have a power play – whatever it is – we have to manage that, especially in an arena like this, where the crowd gets into it on nothing plays. They can really sway momentum – and in a good way – for their home team.
“We just have to understand that if we don’t have our legs in certain situations, because of travel, it’s back-to-back or whatever, we really have to key into the details of the game and not let things get away from us quickly.
With 7:28 left in the third, Ovechkin netted his second of the game – and the fifth goal he has scored in this building this season – on a nice feed from Dylan Strome to pull the Caps within two goals of the Habs, who have coughed up some late leads this season.
But Montreal salted the game away with a pair of late empty-net goals from Suzuki and Jake Evans, respectively.
In winning six of their previous seven games, the Caps had been playing with a lead most of the time. But playing from behind virtually all night against a good team in a tough building is a tall task under any circumstances. And it was exactly that for the Caps on this night.
“They score on the first shift,” says Strome. “Obviously, Saturday night in Montreal is as good and as loud as it gets. They just got a fortunate bounce; puck was off Caulfield’s leg, and a perfect bounce for a breakaway. It’s just one of those things where we got down early and now they kind of fed off the momentum of the crowd.
“But I still think our game is in a good spot, and we’ve just got to keep stacking wins. Obviously, we’ve played more games than everyone so we’re going to need some help, but we’ve just got to keep stacking wins. It’s tough on the back-to-back in Montreal, but we’ll find a way to bounce back on Tuesday [vs. Utah at home] and then go from there.”
Washington
The Fallout From the Epstein Files
The Department of Justice is facing scrutiny this week after it was revealed that records involving President Trump were missing from the public release of the Epstein files. On Washington Week With The Atlantic, panelists joined to discuss the ensuing political fallout for the Trump administration, and more.
“The key thing to remember about the Epstein story is that it is a case that has been mishandled for decades. The reason that we’re hearing about this now and why it’s exploding into public view is because, for the first time, Republicans in Congress and Democrats in Congress were willing to openly defy their leadership and call for the release of these files,” Sarah Fitzpatrick, a staff writer at The Atlantic, said last night. “That has never been done before, and I think it really is changing the political landscape in ways that we’re still just starting to learn.”
“What’s been so striking is how many of those very same Republicans who were calling for the release of those files, who had promised to get to the bottom of them, are now saying things that are just the opposite,” Stephen Hayes, the editor of The Dispatch, argued.
Joining guest moderator Vivian Salama, a staff writer at The Atlantic, to discuss this and more: Andrew Desiderio, a senior congressional reporter at Punchbowl News; Fitzpatrick; Hayes; and Tarini Parti, a White House reporter at The Wall Street Journal.
Watch the full episode here.
Washington
Man charged with shooting co-worker in Washington Heights
A 26-year-old man had an argument with a co-worker before allegedly fatally shooting the colleague in Washington Heights, prosecutors said Friday.
Bobby Martin, who was charged with first-degree murder Thursday, made his first appearance Friday in Cook County court.
Martin, is accused of killing his co-worker, Antoine Alexander, 32, in a parking lot at 9411 S Ashland Ave about 3:30 p.m. on Tuesday, according to Chicago police.
Prosecutors said Martin and Alexander worked together at an armed security company and got into a verbal altercation inside the guard shack on Tuesday afternoon. During the altercation, prosecutors said Alexander removed his bullet proof vest and threw it to the ground. A witness, another co-worker, then told the defendant and the victim to take the altercation outside.
After stepping outside, the defendant pulled his firearm and fired one shot into the victims abdomen, prosecutors said. The victim’s firearm was holstered at the time of the argument and the shooting. The defendant fled the scene and came into contact with another co-worker, whom he told that he had just shot Alexander.
Alexander was then taken to Advocate Christ Medical Center in Oak Lawn, where he was pronounced dead.
Martin was arrested by authorities three blocks from his home approximately 20 minutes after the shooting, prosecutors said.
Martin was detained and will appear in court again on March 17, authorities said.
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