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Support For Reform Softens, Pollster Reflects On How Public Mood Is Shaped
A new survey suggests that "most Americans support an overhaul of the health system, but the percentage who believe they (and their family) will be worse off from the change" has gone from 11 percent to 21 percent in the past five months, Kaiser Health News reports. "The survey, conducted July 7 to July 14 by the Kaiser Family Foundation, found 56 percent of Americans say now is the time for the country to overhaul the health system. That"s down from 61 percent in June." (note: KHN is a program of Kaiser Family Foundation).
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ImmunoGen Announces Encouraging New Clinical Data With The Company's IMGN901 Compound In The Treatment Of Small-Cell Lung Cancer
ImmunoGen, Inc. (Nasdaq: IMGN), a biopharmaceutical company that develops targeted anticancer therapeutics using its Targeted Antibody Payload (TAP) technology, today announced the presentation of encouraging initial efficacy, safety and tolerability clinical data with its IMGN901 product candidate in the treatment of small-cell lung cancer (SCLC). In two early-stage clinical trials that enrolled patients whose SCLC had recurred following treatment with standard chemotherapies, IMGN901 administration achieved notable tumor shrinkage and/or sustained stable disease. The compound also demonstrated encouraging activity against other CD56-expressing (CD56+) solid tumors. These clinical data are being presented at the 13th World Conference on Lung Cancer taking place in San Francisco, CA, from July 31 to Aug. 4, 2009.
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Shanghai To Relax One-Child Policy As China Faces Aging Population, Shrinking Work Force
Nearly three decades after China implemented its one-child policy, the city of Shanghai is planning to encourage young couples to have a second child in an effort to address the country"s aging population and shrinking work force, the New York Times reports. The city"s plan is the most public effort made by the government to counteract a program that is "considered both a tremendous success and a terrible failure," the Times reports. The policy has managed to keep population growth under control but also has led to forced abortions, according to the Times.The country is not abandoning the one-child policy, which applies mostly to residents in urban areas. Rather, the government is allowing more exceptions to the rule, with Shanghai -- where about 22% of its 20 million residents are older than age 60 -- leading the effort. China as a whole faces a similar problem seen in Shanghai, the Times reports. About 8% of the country"s population was older than age 65 in 2006. That figure is expected to increase threefold by 2050 to about 322 million people, or nearly 25% of the population, according to the United Nations.In Friday"s issue of China Daily, Xie Lingli, director of the Shanghai Population and Family Planning Commission, was quoted as saying, "We advocate eligible couples to have two kids because it can help reduce the proportion of the aging people and alleviate a work force shortage in the future." City officials plan to visit homes, pass out leaflets, and offer counseling and financial incentives, the Times reports. Current exceptions to the one-child policy are in place for ethnic minorities and rural residents, who can have a second child if the first child is a girl. Couples made up of two parents who have no siblings have always been allowed to have a second child and are now being encouraged to do so (Barboza, New York Times, 7/24).
Public Health

Low Medicare Reimbursement Rates Hurt Hospitals In Iowa And California

Low Medicare reimbursement rates are not keeping up with costs at hospitals in Iowa and California while a grant helps boost Medicare enrollment in Missouri. Television Station KHQA 7 reports on how Iowa hospitals are losing millions of dollars a year because of low payments from the state and federal government. "For years Medicare pays 14 percent less than what it actually costs for hospitals to provide the care to patients. Medicaid payments are even lower and many times are late in coming," KHQA reports. The station reports that "while Iowa ranks third lowest in the nation for Medicare reimbursements it"s not hurting patient care." A recent Commonwealth Fund Study that found that "Iowa hospitals are number two in the nation for quality of patient care, patient access and affordability." Still, hospitals find it hard to recruit physicians and health care professionals because of low reimbursement rates, a trend that may make it more difficult to maintain high health quality standards in the future (Shriver, 6/2). The Times-Standard in Northern California also reported on cost issues and wage freezes at St. Joseph Health System in Humboldt County and across California that were caused in part by low reimbursement rates for Medicare and Medi-Cal patients. "As of June 2008, more than half the state"s hospitals reported that they were operating at a loss, according to a California Hospital Association survey. And, due to the current recession, things have likely just gotten worse," The Times-Standard reports. "California"s reimbursement rate for Medicare and Medi-Cal patients falls far below the costs hospitals incur providing services to those patients, leaving hospitals to take the losses," the paper notes. It adds that "hospitals only receive 78 cents in state reimbursements for every dollar they spend treating Medicare and Medi-Cal patients. With the state"s unemployment rate hanging around 11 percent, hospitals are likely to see more and more Medicare and Medi-Cal patients, and consequently incur more losses" (Greenson, 6/3). Missouri, though, received funding that will help boast its" Medicare enrollment. The News-Leader reports that "nearly $430,608 of new funding is being distributed to the Missouri State Health Insurance Assistance Program, the State Agency on Aging and Area Agencies on Aging to help the most vulnerable Medicare beneficiaries in Missouri apply for Medicare benefits." It also noted that "the grant is part of the $30 million being awarded nationally from the Medicare Improvements for Patients and Providers Act of 2008" (6/3). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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