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HELP Committee Dems Block Antiabortion Provisions In Health Reform Markup
The Senate Health, Education, Labor and Pensions Committee on Monday rejected several Republican abortion-related amendments to the committee" health overhaul bill but adopted a Democratic amendment allowing health care providers who oppose abortion to contract with health plans, CQ HealthBeat reports. The committee voted mostly along party lines to reject an amendment by Sen. Orrin Hatch (R-Utah) that would have prohibited abortion coverage in a health care exchange for participants who receive government-subsidized coverage. Democrats said that the language could have been used to restrict abortion coverage in private insurance plans. The amendment failed in an 11-12 vote, with Sen. Bob Casey (D-Pa.) crossing party lines to support it. The committee also voted 11-12 to reject an amendment by Sen. Tom Coburn (R-Okla.) that would have specified that federal health reform legislation could not override state laws on parental notification when minors seek abortion services. The committee adopted by voice vote an amendment submitted by Sen. Christopher Dodd (D-Conn.) on behalf of committee Chair Edward Kennedy (D-Mass.), who is battling brain cancer. The amendment states that health care providers could not be excluded from contracting with health plans taking part in a health insurance exchange on the basis that the provider performs abortions or refuses to perform abortions except in an emergency if "performing abortions is contrary to the religious or moral beliefs of the provider or entity." Sen. Mike Enzi (R-Wyo.) said that he is concerned the amendment might be unconstitutional because Congress cannot legislate on religious issues. Sen. Kay Hagan (D-N.C.) expressed concern that the phrase "except in emergency" was not more clearly defined. Dodd declined Enzi"s request to withdraw the amendment until it could be clarified. The committee rejected Coburn"s amendment that was a more sweeping version of "conscience" protections for health care providers with religious or moral objections (Norman [1], CQ HealthBeat, 7/13). Dodd said he expects the committee to complete its work on the bill Tuesday night (Norman [2], CQ HealthBeat, 7/13).According to NPR"s "Morning Edition," abortion is one of the most likely issues to "throw a wrench into the already fragile gears" of health reform legislation. Sen. Chuck Grassley (R-Iowa) said, "I take a view that there"s almost anything (that can be compromised) in public affairs except probably the issue of abortion." Nineteen House Democrats recently sent a letter to House Speaker Nancy Pelosi (D-Calif.), saying, "We cannot support any health care reform proposal unless it explicitly excludes abortion from the scope of any government-defined or subsidized health insurance plan." Democratic pollster Mark Mellman said any new restrictions on abortion coverage in government-subsidized health plans might be unpopular with the public. "Right now most health care plans cover abortion, cover contraception, cover women"s reproductive health," Mellman said. He added, "To some extent what they"re talking about on Capitol Hill is taking away coverage that people already have. Americans want health care reform. But they will oppose health care reform if it takes away the coverage they now have for things like abortion and contraception." Mellman recently conducted a poll for the National Women"s Law Center that found that 75% of respondents would prefer to have an independent commission of medical experts and citizens, rather than lawmakers, decide what should be covered (Rovner, "Morning Edition," NPR, 7/14).
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Two Fred Hutchinson Cancer Research Center Scientists Receive Presidential Early Career Award
President Obama has announced that two Fred Hutchinson Cancer Research Center investigators have been awarded the nation"s highest honor for scientists at the beginning of their independent research careers. Basic scientist Harmit Singh Malik, Ph.D., and cancer-prevention researcher Ulrike "Riki" Peters, Ph.D., are among 100 researchers to receive the prestigious 2008 Presidential Early Career Award for Scientists and Engineers (PECASE). Each will be honored in a ceremony this fall at the White House.
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Increasing Costs In Cancer Care Are A Growing Factor In Decision-Making For Patients, Physicians, Society
When a cancer patient and his or her doctor discuss the value of a treatment option, the conversation usually centers on a consideration of the treatment"s medical benefits versus its possible side effects for the patient. Increasingly, however, as the already high costs of cancer care continue to rise, a full view of the patient"s welfare must also take into account the economic impact of the treatment on the patient and his or her family.
Endocrinology

Mapping HIV's March Around Europe

Those travelling abroad should take seriously advice to pack their condoms and keep their needles to themselves: research published today in the open access journal Retrovirology shows that tourists, travellers and migrants from Greece, Portugal, Serbia and Spain actively export HIV-1 subtype B to other European nations. An international team of scientists used samples from 17 European countries to construct a viral phylogeography - a geographic pattern of genetic information taken from viruses at a number of locations that can be used to track how and when it spread (this technique has recently been applied to the bird flu virus H5N1.) HIV-1 subtype B is the most prevalent form of the HIV virus circulating in Europe today. The results showed that for three countries (Austria, Poland and Luxembourg) no significant exporting migration was observed. Whereas Greece, Portugal, Serbia and Spain were a of subtype B to other countries. Notably, the virus spread widely from Greece and Spain to seven and five target countries respectively. Other countries had narrower targets, with Italy exporting HIV to Austria, and Portugal passing the virus primarily to Luxembourg (some 13% of Luxembourg"s population is Portuguese). Other nations such as Austria, Belgium, Denmark, Germany and Luxembourg showed only limited export of HIV-1 subtype B, while for Italy, Israel, Norway, the Netherlands, Sweden, Switzerland and the UK the authors inferred significant bidirectional migration. For Poland no significant migration was found. According to the first author, Dimitrios Paraskevis, "Popular tourist destinations like Greece, Portugal and Spain probably spread HIV with tourists infected during their holidays. To a large extent HIV spread within Poland is due to injecting drug users, who make up around half of the HIV-infected population. Viruses move around with travellers - thus health programmes within countries should not only target the national populations, prevention efforts must also be aimed at migrants, travellers and tourists - who are both major s and targets of HIV." Article: Tracing the HIV-1 subtype B mobility in Europe: a phylogeographic approach Dimitrios Paraskevis, Oliver Pybus, Gkikas Magiorkinis, Angelos Hatzakis, Annemarie MJ Wensing, David A van de Vijver, Jan Albert, Guiseppe Angarano, Birgitta ç„sjç¶, Claudia Balotta, Enzo Boeri, Ricardo Camacho, Marie-Laure Chaix, Suzie Coughlan, Dominique Costagliola, Andrea DeLuca, Carlos de Mendoza, Inge Derdelinckx, Zehava Grossman, Osama Hamouda, I M Hoepelman, Andrzej Horban, Klaus Korn, Claudia Kuecherer, Thomas Leitner, Clive Loveday, Eilidh Macrae, I Maljkovic, Laurence Meyer, Claus Nielsen, Eline LM Op de Coul, Vidar Ormaasen, Luc Perrin, Elisabeth Puchhammer-Stç¶ckl, Lidia Ruiz, Mika Salminen, Jean-Claude Schmit, Rob Schuurman, Vincent Soriano, J Stanczak, Maja Stanojevic, Daniel Struck, Kristel Van Laethem, M Violin, Sabine Yerly, Maurizio Zazzi, Charles A Boucher and Anne-Mieke Vandamme Retrovirology (in press) http://www.retrovirology.com/ Click here to access map demonstrating the spread of HIV. Charlotte Webber BioMed Central


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