#political-influence-on-health-policy

#political-influence-on-health-policy

Ghana would not sign a multi-year deal, reportedly worth around US$109 million, because Ghana would have to waive key aspects of its health sovereignty. This includes sharing control over its health care decisions, data, and resources with US authorities.

"This argues for the need to sustain such policies and shows that it is possible to right the wrongs retroactively, which is a powerful idea," said Kenneth Michelson, MD, MPH, associate professor of Pediatrics in the Division of Emergency Medicine and a co-author of the study.

Congress has kept key drug assistance funding at $900.3 million annually since 2014. New enrollments for state programs jumped 30% from 2022 to 2024, in part because states cut off pandemic-era Medicaid assistance. As of January, at least 18 states have pulled back their Ryan White AIDS Drug Assistance Programs, known as ADAPs, in some way.

The loan limits-which were prompted by congressional legislation and fleshed out through a contentious rule-making process -cap the amount a graduate student can borrow based on the type of program they enroll in. If their program is deemed "professional," they can borrow up to $50,000 a year or $200,000 total; meanwhile, students in programs labeled "graduate" can only take out half that-$20,500 a year or $100,000 total. Under the proposed regulations, only 11 degree programs are considered professional.

In light of the systemic dismantling of America's public health agencies, these moves essentially create a shadow infrastructure to maintain some of what is being lost. While this is a promising development, it does nothing to stop a troubling trend that has been emerging for some time: The country is quickly becoming fragmented along partisan lines when it comes to public health.

What are scientists, clinicians, and public health practitioners supposed to do in this moment? What use is research when our patients might be deported tomorrow? Why try to stem the tide of outbreaks when the world has fallen apart? This is why: because even in these times, enlarging the scope of human knowledge matters. The search for cures still matters. The fate of individual patients still matters.

The 340B program allows hospitals to buy outpatient drugs at steep discounts, with the purported purpose of helping them fund care for low-income and uninsured patients. The now-axed rebate model would have invited drugmakers to participate voluntarily in a rebate-based discount system. Basically, instead of the provider receiving a discount upfront at purchase, the 340B discount would be applied after purchase via rebate - and subject to tedious data submission requirements.

Black people in the U.S. aren't just more likely to have HIV - they're more likely to be criminalized for it. Black Americans accounted for about 38 percent of new HIV diagnoses and 39 percent of people living with HIV in 2023, according to a report from the Williams Institute, despite making up around 12 percent of the population. Black women had the highest HIV diagnosis rate at 19.6 per 100,000, which is about 11 times the rate for white women at 1.8 per 100,000.