Health
Senate Confirms Dr. Oz to Ovrsee Medicare and Medicaid
The Senate on Thursday confirmed Dr. Mehmet Oz, the celebrity TV doctor, 53-45 and along party lines to lead Medicare and Medicaid, which insure nearly half of all Americans.
The future of both programs is the subject of fierce debate: Republicans are contemplating significant cuts to Medicaid, which provides health care to low-income Americans. The Trump administration and G.O.P. lawmakers have proposed sizable reductions in Medicaid spending in part to find savings to pay for President Trump’s tax-cut package.
Dr. Oz, 64, has for years been a vocal proponent of Medicare Advantage, the private insurance plans for older Americans, despite federal inquiries and lawmakers’ concerns that insurers have overbilled the government by tens of billions of dollars a year. He promoted it on his TV show and acted as a broker for one company that sells the plan.
At his confirmation hearing before the Senate Finance Committee last month, he seemed to acknowledge problems with Medicare Advantage, and tried to reassure senators that there was a “new sheriff in town.”
Democrats on the committee grilled him at length about the potential steep cuts to Medicaid, which could result in a substantial number of people becoming ineligible for health coverage.
In recent days, Health Secretary Robert F. Kennedy Jr. has overseen deep cuts to the Health and Human Services Department, including laying off roughly 10,000 employees on top of another 10,000 buyouts, retirements and departures early on in the new Trump administration.
The cutbacks also affect Dr. Oz’s agency, the Centers for Medicare and Medicaid Services, which has a budget of about $1.5 trillion in annual spending. Still, Dr. Oz has given few clues as to what if any changes he has planned.
Dr. Oz’s ability to secure enough votes for confirmation was up in the air until recently. Then, earlier this week Senator Josh Hawley, the Missouri Republican, said he had decided to support his nomination because Dr. Oz told him that he would no longer support transgender care for minors and was “unequivocally pro-life.” Mr. Hawley had publicly said he was withholding his support over Dr. Oz’s previous positions on these issues.
Senators largely sidestepped criticism of Dr. Oz’s extensive and often murky financial ties to companies he will oversee in his new position.
He and his wife are wealthy. All told, his business and family ventures are valued in the neighborhood of roughly $90 million to $335 million.
In an attempt to avoid conflicts, he announced in February he would sell his interest in more than 70 companies and investment funds.
He has made tens of millions of dollars over the years pitching dietary supplements and promoting health-related companies on his television show.
The investments he said he planned to sell included stakes in UnitedHealth Group, the giant conglomerate that is the nation’s largest provider of private Medicare plans; Inception Fertility Holdings, a privately held company that operates a chain of clinics; and Amazon, which has a vast reach that now includes an online pharmacy and sells myriad medical devices and equipment.
In addition, he pledged to resign from various paid advisory jobs.
Still, the breadth of his financial ties to countless health-related companies has prompted lawmakers and ethics experts to express doubts about his ability to be independent.
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The American Cancer Society (ACS) has updated its guidelines for colorectal cancer screening.
The organization released the update in its flagship journal on Wednesday, noting that the new recommendations “re-affirm” that adults at average risk should be screened for colorectal cancer at age 45 and continue through 75, for those with a life expectancy greater than 10 years.
In addition to the standard colonoscopy, the ACS also recommends that patients receive a blood-based screening test in a doctor’s office, which is designed to detect tumor DNA in the blood.
COMMON CANCER TYPE COULD BE DETECTED WITH NEW BLOOD TEST
The ACS also suggested an at-home screening option that looks for hidden blood and molecular markers in stool samples.
These new guidelines reflect recent advancements in disease detection, as well as a “critical shift in public health strategy to expand screening options and lower barriers to access,” the ACS stated in a press release.
The ACS recommends blood-based testing and at-home stool sampling as options for colorectal cancer screening. (iStock)
Dr. Robert Smith, senior vice president of early cancer detection science at the American Cancer Society and senior author of the report, wrote in a statement that colorectal cancer should be emphasized as a “highly preventable disease as much as a treatable one.”
“By offering more screening tools in our guideline update, more eligible adults will be able to participate in lifesaving colorectal cancer testing, helping to close the screening gap and catch more cancers at an earlier, treatable stage,” he added.
JAMES VAN DER BEEK MISTOOK CANCER SYMPTOMS FOR PROBLEMS WITH HIS DIET
According to the ACS, colorectal screening “dramatically improves survival,” as studies show early-stage detection yields a five-year survival rate of more than 90% in the U.S.
About one in three American adults are eligible for colorectal cancer screening but have not been tested, although ACS research marks colorectal cancer as the top cancer killer of adults under 50.
Colorectal cancer is the top cancer killer of adults under the age of 50, according to the ACS. (iStock)
People at a high risk of colorectal cancer may need to begin screening before age 45 or be screened more often, the ACS added. Those over 85 years old should no longer be screened for colorectal cancer, per the guidelines.
Dr. William Dahut, chief scientific officer at the ACS, commented that “no matter which test you choose, what’s most important is to get screened, and that includes underserved, rural and minority populations.”
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These guideline changes follow a surge in colorectal cancer diagnoses in younger individuals. Recent ACS research revealed a 50% relative increase in diagnoses in adults aged 45 to 49 from 2021 to 2022.
Dr. Aparna Parikh, medical director of the Center for Young Adult Colorectal Cancer at the Mass General Cancer Center, who is not affiliated with the ACS, shared that experts don’t “entirely understand why” cases are on the rise.
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“But it seems to be an interplay of a person’s risk factors, overall makeup and early exposures,” she previously told Fox News Digital. “[Those] include dietary exposures, environmental exposures and possible antibiotic exposures, as well as lifestyle factors in the right host.”
Changes in bowel habits are the primary red flag that should raise the suspicion of colorectal cancer. (iStock)
Another recent ACS study found that drinking heavily and consistently over an adult’s lifetime could lead to a higher risk of colorectal cancer.
Other known risk factors include family history, obesity, smoking, a diet high in red and processed meats, inflammatory bowel disease, and a personal history or family history of polyps.
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While there may be no symptoms of colorectal cancer before diagnosis, especially in the early stages, certain symptoms should not be overlooked, experts say.
Dr. Eitan Friedman, PhD, an oncologist and founder of The Suzanne Levy-Gertner Oncogenetics Unit at the Sheba Medical Center in Israel, confirmed to Fox News Digital that changes in bowel habits are the primary red flag that should raise the suspicion of colorectal cancer.
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Other symptoms include fatigue as a result of anemia, stomach pain or abdominal discomfort, rectal bleeding or blood in the stool, weakness and unexplained weight loss.
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The sudden death of Kyle Busch has drawn attention to a rare but devastating medical progression: when pneumonia escalates into fatal sepsis.
An ER doctor spoke with Fox News Digital about how sepsis can trigger a rapid health decline.
“Sepsis is actually not a specific disease or diagnosis, but rather the syndrome that occurs when the body has certain abnormal findings and a presumed infection,” said Dr. Kenneth J. Perry, a South Carolina-based emergency medicine physician.
HOW PNEUMONIA PROGRESSES TO SEPSIS: DOCTORS EXPLAIN AFTER KYLE BUSCH’S DEATH
The markers of sepsis include elevated white blood cell counts, a high or low temperature, and elevated heart and respiratory rates, according to Perry. Because of this, a patient with pneumonia is often already technically septic by definition.
In the wake of Kyle Busch’s sudden passing, there is a focus on the rapid decline from pneumonia to fatal sepsis. (Getty; iStock)
While many people assume a worsening infection means bacteria are multiplying uncontrollably, it often has more to do with the body’s internal environment.
“It is often not the bacteria itself that is causing the specific decline,” Perry said. “In most cases, it is a cascade of inflammatory processes that are set in motion by the infection.”
When this inflammation spirals out of control, the body moves from having a manageable infection into severe sepsis. This is when otherwise healthy people can rapidly deteriorate.
SURGE IN WALKING PNEUMONIA AFFECTS THESE HIGH-RISK GROUPS, SAYS DR. MARC SIEGEL
“The concerning thing that can happen with any individual … is that sepsis can then lead to low blood pressure, worsening vital signs and organ damage,” Perry said.
“As multiple organs fail, it becomes very difficult for the medical team to treat and can sometimes lead ultimately to death.”
“The medical evaluation provided to the Busch Family concluded that severe pneumonia progressed into sepsis, resulting in rapid and overwhelming associated complications,” the family shared in a statement. (James Gilbert/Getty Images)
It is very unlikely to have pneumonia and not have any symptoms, according to Perry. Early signs can mimic a severe flu, including fevers, chills, a productive cough, and chest or back pain in cases where the lung is infected.
When sepsis begins to take hold, time becomes the most critical factor. “We have known for a number of years that early antibiotic therapy is beneficial in the treatment of sepsis,” Perry said.
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If you or a loved one are managing an infection at home, the doctor says the following red flags mean you should bypass the clinic and head straight to the emergency room.
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- Shortness of breath or difficulty breathing
- A racing heart rate or fever that continues to worsen even after starting treatment
- Severe chest pain associated with a productive cough
The slide into sepsis is, in most cases, a cascade of inflammatory processes that are set in motion by the infection, the doctor said. (iStock)
While cases like Busch’s are tragic, Perry stressed that this shouldn’t cause widespread panic. Most patients with pneumonia do very well with standard oral antibiotics.
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The NASCAR star’s rapid decline underscores the importance of medical vigilance and “having a primary care physician with whom you have a good relationship,” according to the ER doctor.
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“Monitoring symptoms while having easy access to primary care is a very beneficial and appropriate plan for most patients,” he added.
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