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Insurers Are Starting to Cover Telehealth Abortion

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Insurers Are Starting to Cover Telehealth Abortion

The authorized effort to ban mail-order abortion capsules got here alongside simply because the fledgling telehealth trade grew to become a extra accepted and entrenched a part of abortion care.

This week, Hey Jane, one in every of greater than a dozen digital abortion suppliers that haven’t any bodily places, started contracting with the insurers Anthem Blue Cross Blue Defend of Connecticut, Empire Blue Cross Blue Defend of New York and Sana, which gives well being plans for small companies nationwide. Hey Jane additionally already accepted Aetna in eight of the 9 states by which it operates.

It’s uncommon for insurers to cowl telehealth abortions, and most digital clinics are money solely. The clinics are new, and insurance coverage protection for abortion varies extensively. Within the yr earlier than Roe v. Wade was overturned, only a third of abortion sufferers used insurance coverage. Some states require non-public insurers to cowl abortions, whereas others bar it. Federal regulation prohibits using Medicaid for many abortions, although 16 states use state funds to cowl them. However even plans that do cowl abortion don’t typically embrace these new telehealth suppliers of their networks.

Well being insurers are likely to cowl remedies which can be extensively accepted by clinicians and cost-effective, and Hey Jane’s insurance coverage partnerships are the most recent signal that digital abortion clinics are seen by the well being care trade as a secure, in-demand choice. Additionally they are usually inexpensive than in-clinic procedures for each sufferers and insurers.

“In abortion care, as in so many different areas of well being care, we consider increasing telehealth’s position is a large lever” for making care extra accessible and inexpensive, mentioned Will Younger, chief government of Sana.

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Not all insurers are able to cowl this new approach of offering abortions, mentioned Gaby Santana, head of enterprise at Hey Jane. For instance, some require stay visits, over video, whereas Hey Jane sees most of its sufferers by messaging. Different insurers informed Hey Jane they solely contracted with clinics with a bodily location.

“Our aim is to make this as huge and accessible as doable,” Ms. Santana mentioned. “That’s why we need to carry on extra states and extra payers.”

New knowledge exhibits telehealth accounts for a quickly rising share of abortions, and Honeybee, the most important on-line pharmacy supplying mail-order abortion capsules, mentioned it was filling greater than 10,000 prescriptions a month.

But these clinics may be hobbled simply as they’re beginning to develop. The Fifth Circuit dominated final week that the Meals and Drug Administration ought to ban telemedicine prescriptions and supply by mail for mifepristone, the primary of two medicine sometimes prescribed to induce abortions. It’s a brief order whereas a Texas courtroom considers whether or not to overturn the drug’s approval altogether. The Supreme Courtroom dominated Friday that mifepristone would stay obtainable till Wednesday at midnight whereas it had time to overview the case.

The F.D.A. first allowed telemedicine abortion in 2020, following an emergency courtroom choice made early within the pandemic and after in depth knowledge demonstrated that it was a secure and efficient approach to provide abortion capsules to sufferers. It made the coverage everlasting in 2021.

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Pharmacists should get a particular certification to dispense mifepristone, and report knowledge about every prescription, mentioned Jessica Nouhavandi, co-founder of Honeybee. “I needed to actually create protocols and prepare pharmacists,” she mentioned. “Most don’t even study this at school.”

A lot of the start-up clinics function in just a few states; they will need to have a clinician licensed in every state by which they see sufferers. Some are financed by traders or grant makers as they determine tips on how to construct a worthwhile enterprise. Few have attorneys on employees to assist them navigate the current authorized challenges.

They’ve fashioned an unofficial community to assist each other, with group chats about digital medical data or authorized questions. A nonprofit known as Plan C gives consulting and typically small grants, and a database of suppliers.

They’ve begun discussing what they’ll do if the courtroom case prompts the F.D.A. to take mifepristone off the market. Many are making ready to supply simply the second medication, misoprostol, which is efficient when used alone to finish a being pregnant, however can carry extra negative effects.

Dr. Rachna Kaul runs Maitri Wellness, a solo major care follow in New Jersey. However she began providing telemedicine abortions throughout the pandemic, and now her workplace mails dozens of tablet packs a day into three states the place she is licensed. She prices money costs for sufferers who can afford the service, and makes use of grants to cowl the prices for sufferers who can not.

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Dr. Kaul mentioned including the service was simpler for her than lots of her friends as a result of she was self-employed. “At first, we didn’t have any funding, so we took all of it out of our personal pockets,” she mentioned. “I may do some other work and make a lot more cash. That is such an enormous want.”

Juniper Midwifery, which gives 175 treatment abortions a month to ladies in six states, is run by two midwives with day jobs at a New York Metropolis hospital and clinic. They function out of their houses or on the go.

“It’s simply the 2 of us,” mentioned Marisa Poverman, who began Juniper with Jillian Barovick. “We’re nonetheless in a grass-roots part of issues. So this week has felt slightly bit tenuous. Are we going to have the ability to maintain doing this and offering entry to individuals on this approach?”

Juniper noticed its first sufferers in August. Ms. Poverman constructed the web site utilizing WordPress, and their husbands took their headshots. They raised cash from family and friends to get it off the bottom, and now have a grant from New York State. They settle for money solely, and use the grant to subsidize costs or present free care to sufferers who want it.

Hey Jane, against this, is among the many most established of the suppliers, with $9.6 million in enterprise capital funding and 40 staff. Abortion on Demand and Assist Entry function within the largest variety of states. (A separate department of Assist Entry additionally operates in states the place abortion is prohibited by connecting ladies with docs and pharmacies overseas.)

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Carafem is one other bigger operation, a supplier that gives telehealth abortions in 16 states and in addition has just a few bodily clinics. Melissa Grant, the chief working officer, mentioned one of many hardest components of her operation had been studying the various guidelines in every state.

Questions on insurance coverage protection replicate these issues — and sometimes amplify them. Ms. Grant mentioned her suppliers work exhausting to assist sufferers determine what their insurance coverage covers, and try to steer extra well being plans to work with the corporate.

“Not everybody’s plan covers abortion,” she mentioned. “Once you put telehealth on prime of it, sadly there’s much more carriers that deny care.”

Even when they do have protection, not all sufferers need to use it, mentioned Dr. Stephanie Colantonio, a major care doctor who gives telemedicine abortion in California by Luna Move Well being. “Some sufferers are so nervous about privateness and safety that they like to pay out of pocket,” she mentioned.

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Children exposed to higher fluoride levels found to have lower IQs, study reveals

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Children exposed to higher fluoride levels found to have lower IQs, study reveals

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The debate about the benefits and risks of fluoride is ongoing, as RFK Jr. — incoming President Trump’s pick for HHS secretary — pushes to remove it from the U.S. water supply.

“Fluoride is an industrial waste associated with arthritis, bone fractures, bone cancer, IQ loss, neurodevelopmental disorders and thyroid disease,” RFK wrote in a post on X in November.

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A new study published in JAMA Pediatrics on Jan. 6 found another correlation between fluoride exposure and children’s IQs.

RFK JR. CALLS FOR REMOVAL OF FLUORIDE FROM DRINKING WATER, SPARKING DEBATE

Study co-author Kyla Taylor, PhD, who is based in North Carolina, noted that fluoridated water has been used “for decades” to reduce dental cavities and improve oral health.

Fluoride exposure has been linked to a variety of negative health effects, yet benefits oral health. (iStock)

“However, there is concern that pregnant women and children are getting fluoride from many sources, including drinking water, water-added foods and beverages, teas, toothpaste, floss and mouthwash, and that their total fluoride exposure is too high and may affect fetal, infant and child neurodevelopment,” she told Fox News Digital.

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The new research, led by scientists at the National Institute of Environmental Health Sciences (NIEHS), analyzed 74 epidemiological studies on children’s IQ and fluoride exposure.

FEDERAL JUDGE ORDERS EPA FURTHER REGULATE FLUORIDE IN DRINKING WATER DUE TO CONCERNS OVER LOWERED IQ IN KIDS

The studies measured fluoride in drinking water and urine across 10 countries, including Canada, China, Denmark, India, Iran, Mexico, Pakistan, New Zealand, Spain and Taiwan. (None were conducted in the U.S.)

The meta-analysis found a “statistically significant association” between higher fluoride exposure and lower children’s IQ scores, according to Taylor.

“[It showed] that the more fluoride a child is exposed to, the more likely that child’s IQ will be lower than if they were not exposed,” she said.

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Little girl drinking water from a glass

Scientists found a “statistically significant association” between higher fluoride exposure and lower children’s IQ scores. (iStock)

These results were consistent with six previous meta-analyses, all of which reported the same “statistically significant inverse associations” between fluoride exposure and children’s IQs, Taylor emphasized.

The research found that for every 1mg/L increase in urinary fluoride, there was a 1.63-point decrease in IQ. 

‘Safe’ exposure levels

The World Health Organization (WHO) has established 1.5mg/L as the “upper safe limit” of fluoride in drinking water.

“There is concern that pregnant women and children are getting fluoride from many sources.”

Meanwhile, the U.S. Public Health Service recommends a fluoride concentration of 0.7 mg/L in drinking water.

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“There was not enough data to determine if 0.7 mg/L of fluoride exposure in drinking water affected children’s IQs,” Taylor noted.

FDA BANS RED FOOD DYE DUE TO POTENTIAL CANCER RISK

Higher levels of the chemical can be found in wells and community water serving nearly three million people in the U.S., the researcher noted.

She encouraged pregnant women and parents of small children to be mindful of their total fluoride intake.

little boy filling fresh water from water tap in sports bottle

Nearly three million people have access to wells and community water with fluoride levels above the levels suggested by the World Health Organization. (iStock)

“If their water is fluoridated, they may wish to replace tap water with low-fluoride bottled water, like purified water, and limit exposure from other sources, such as dental products or black tea,” she said.

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“Parents can use low-fluoride bottled water to mix with powdered infant formula and limit use of fluoridated toothpaste by young children.”

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While the research did not intend to address broader public health implications of water fluoridation in the U.S., Taylor suggested that the findings could help inform future research into the impact of fluoride on children’s health.

Dental health expert shares cautions

In response to this study and other previous research, Dr. Ellie Phillips, DDS, an oral health educator based in Austin, Texas, told Fox News Digital that she does not support water fluoridation.

Mother and her toddler drinking a glass with water from the tap

The study researcher encouraged parents of small children to be mindful of their total fluoride intake. (iStock)

“I join those who vehemently oppose public water fluoridation, and I question why our water supplies are still fluoridated in the 21st century,” she wrote in an email.

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“There are non-fluoridated cities and countries where the public enjoy high levels of oral health, which in some cases appear better than those that are fluoridated.”

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Phillips called the fluoride debate “confusing” even among dentists, as the American Dental Association (ADA) advocates for fluoride use for cavity prevention through water fluoridation, toothpaste and mouthwash — “sometimes in high concentrations.”

mother checks son's brushed teeth

Fluoride is used in water, toothpaste and mouthwash to help prevent cavities. (iStock)

“[But] biologic (holistic) dentists generally encourage their patients to fear fluoride and avoid its use entirely, even if their teeth are ravaged by tooth decay,” she said.

“Topical fluoride is beneficial, while systemic consumption poses risks.”

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Phillips encouraged the public to consider varying fluoride compounds, the effect of different concentrations and the “extreme difference” between applying fluoride topically and ingesting it.

“Topical fluoride is beneficial, while systemic consumption poses risks,” she cautioned. 

“Individuals must take charge of their own oral health using natural and informed strategies.”

The study received funding from the National Institute of Environmental Health Sciences (NIEHS), the National Institutes of Health (NIH) and the Intramural Research Program.

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Treating Other Diseases With Ozempic? Experts Weigh In | Woman's World

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FDA bans red food dye due to potential cancer risk

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FDA bans red food dye due to potential cancer risk

The U.S. Food and Drug Administration (FDA) has officially banned red dye — called Red 3, or Erythrosine — from foods, dietary supplements and ingested medicines, as reported by the Associated Press on Wednesday.

Food manufacturers must remove the dye from their products by January 2027, while drug manufacturers will have until January 2028 to do so, AP stated. 

Any foods imported into the U.S. from other countries will also be subject to the new regulation.

RED FOOD DYE COULD SOON BE BANNED AS FDA REVIEWS PETITION

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“The FDA is taking action that will remove the authorization for the use of FD&C Red No. 3 in food and ingested drugs,” said Jim Jones, the FDA’s deputy commissioner for human foods, in a statement. 

The U.S. Food and Drug Administration has officially banned red dye — called Red 3, or Erythrosine — from foods, dietary supplements and ingested medicines (iStock)

“Evidence shows cancer in laboratory male rats exposed to high levels of FD&C Red No.3,” he continued. “Importantly, the way that FD&C Red No. 3 causes cancer in male rats does not occur in humans.”

      

The synthetic dye, which is made from petroleum, is used as a color additive in food and ingested drugs to give them a “bright cherry-red color,” according to an online statement from the FDA.

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Red cough syrup

Food manufacturers must remove the dye from their products by January 2027, while drug manufacturers will have until January 2028 to do so. (iStock)

The petition to ban the dye cited the Delaney Clause, which states that the agency cannot classify a color additive as safe if it has been found to induce cancer in humans or animals.

The dye was removed from cosmetics nearly 35 years ago due to potential cancer risk.

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“This is a welcome, but long overdue, action from the FDA: removing the unsustainable double standard in which Red 3 was banned from lipstick but permitted in candy,” said Dr. Peter Lurie, director of the group Center for Science in the Public Interest, which led the petition effort, as reported by AP.

Red Jello

Nearly 3,000 foods are shown to contain Red No. 3, according to Food Scores, a database of foods compiled by the Environmental Working Group. (iStock)

Dr. Marc Siegel, clinical professor of medicine at NYU Langone Health and Fox News senior medical analyst, applauded the FDA’s ban.

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“It was a long time coming,” he told Fox News Digital. “It’s been more than 30 years since it was banned from cosmetics in the U.S. due to evidence that it is carcinogenic in high doses in lab rats. There needs to be a consistency between what we put on our skin and what we put into our mouths.”

“There needs to be a consistency between what we put on our skin and what we put into our mouths.”

Siegel said he believes the FDA’s decision could be tied to the incoming new head of the Department of Health and Human Services, Robert F. Kennedy Jr.

“They knew it would have happened anyway under RFK Jr.,” he said. “It is already banned or severely restricted in Australia, Japan and the European Union.”

Kid eating sugary cereal

The food additive also “drew kids in” to a diet of empty calories and ultraprocessed foods, one doctor stated. (iStock)

The food additive also “drew kids in” to a diet of empty calories and ultraprocessed foods, Siegel added.

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“It has also been linked to behavioral issues in children, including ADHD.”

Nearly 3,000 foods are shown to contain Red No. 3, according to Food Scores, a database of foods compiled by the Environmental Working Group.

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The National Confectioners Association provided the below statement to Fox News Digital.

“Food safety is the number one priority for U.S. confectionery companies, and we will continue to follow and comply with FDA’s guidance and safety standards.”

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The petition to remove Red No. 3 from foods, supplements and medications was presented in 2022 by the Center for Science in the Public Interest and 23 other organizations and scientists.

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