It's a Christmas-week miracle! The Senate, in a vote that astonished everyone, brought the Food Safety and Modernization Act back from the dead on Monday, as Siddhartha Mahanta reports in Mother Jones. The bill, which will enact tougher consumer protections against E. coli and other deadly contaminants in staples like eggs and peanut butter, died in the Senate last week when the omnibus spending bill it had been folded into kicked the bucket.
At Grist, Tom Philpott explains the initial demise, and the basis for the ultimate resurrection of the bill. The House passed the bill on Tuesday, having already passed it twice before.
President Obama is expected to sign the bill into law, which will usher in the first major overhaul of the country's food safety system in more than 70 years. Food poisoning strikes 48 million Americans (1 in 6), lands 128,000 in the hospital, and kills 3,000 ever year, according to CDC figures released last week. Now that's something to talk about with your relatives around the holiday dinner table.
Wisconsin clinic backs off 2nd trimester abortion care
A clinic in Wisconsin has reneged on its commitment to provide second trimester abortion care, as Judy Shackelford reports in The Progressive. Shackelford is outraged that the Madison Surgery Center walked back on its promise to patients. She knows first hand how important later term abortion access can be.
Shackelford found herself in need of a second trimester abortion when she developed a blood clot in her arm during her second, much-wanted pregnancy. She decided to terminate rather than risk leaving her 7-year-old son motherless. It was hard enough to find an abortion provider when she needed one, but if she needed the procedure today, she would have nowhere to turn.
Teen birth rate at record low
The birth rate for women ages 15-19 fell to 39.1 per 1000 between 2008 and 2009, the National Center for Health Statistics announced Tuesday. Many commentators, including Goddessjaz of feministing attribute the drop to the recession. The economy seems to be an important factor because birth rates dropped in all age groups, not just among teens.
Predictably, proponents of abstinence-only-until-hetero-marriage are trying to take credit for the falling birth rate. It's not clear why they think ab-only is finally starting to work after years ofunrelenting failure. Perhaps it was Bristol Palin's electrifying performance on "Dancing With the Stars"?
Get the government out of my Medicare
We've become accustomed to the ironic spectacle of senior citizens on Medicare-funded scooters decrying the "government takeover of health care." Medicare is wildly popular, even among those who decry "socialized medicine." When the Affordable Care Act is finally implemented, it won't feel like a government program, either. Paul Waldman of The American Prospect wonders if this "private sector" feel will undermine support for the program:
The Republican officials challenging the ACA in court have characterized its individual insurance mandate as an act of tyranny ranking somewhere between the Stalinist purges and Mao's Cultural Revolution. But in the "government takeover" of health care (recently declared the 2010 "Lie of the Year" by the fact-checking site PolitiFact), Americans will continue to visit their private doctors to receive care paid for by their private insurance companies. The irony is that if the ACA actually were a "government takeover," people would end up feeling much better about government's involvement in health care. But since it maintains the private system, conservatives can continue to decry government health care safe in the knowledge that most people under 65 won't know what they're missing, or in another sense, what they're getting.
If people don't realize that they're benefiting from government programs, they are less likely to support those programs. In an attempt to deflect Republican criticism, the Democrats assiduously scrubbed as much of the aura of government off of health reform as they could. This could prove to be a disastrously short-sighted strategy. If health reform works, the government won't get the credit, but rest assured that if it fails, it will take the full measure of blame.
Funding for community health centers at risk
One of the lesser-known provisions of the Affordable Care Act was to expand the capacity of community health centers (CHCs) from 20 million to 40 million patients by 2015. This extra capacity will be key for absorbing the millions of previously uninsured Americans who are slated to get health insurance under the ACA.
CHCs have been praised by Democrats and Republicans as an affordable way to provide quality health care. However, state budget crises are threatening to derail the plan, as Dan Peterson reports for Change.org. States must contribute to the program in order to qualify for federal funding. However, state funding for CHCs has plummeted by 42% since 2007. So far this year, 23 states have cut funding for CHCs and eight have slashed their budgets by 20% or more.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Crisis Pregnancy Centers (CPCs) in New York City may soon have to level with the public about their real agenda. At the Ms. Blog, Michelle Chen has an update on proposed legislation which would force CPCs in New York to disclose that they aren't reproductive health centers.
CPCs are anti-choice ministries that masquerade as full-service reproductive health clinics. They typically set up shop near real clinics to trick unwary clients. Real clinics dispense medical advice from doctors, nurses, and other licensed health care professionals. They are required to tell clients about the risks and benefits of all their treatment options. They don't push clients towards abortion or adoption. CPCs are typically staffed by volunteers. Instead of medical advice, they hand out over-the-counter pregnancy tests and medically inaccurate information about the risks of abortion. They use pseudoscience and high pressure sales tactics to derail as many women seeking abortions as they can.
Chen reports that if the bill becomes law, New York CPCs will have to post signs disclosing that "they do not provide abortion services or contraceptive devices, or make referrals to organizations that do." If the facility lacks licensed on-site medical professionals, the center would have to inform prospective clients of this fact. This is an excellent piece of consumer protection legislation. If CPCs are honest about who they are and what they do, they should have no problem with the law.
Christine O'Donnell: not (just) a joke
In an essay for the Women's Media Center, organizer Shelby Knox explains why Delaware's Republican Senate candidate Christine O'Donnell represents more than an anti-masturbation punchline:
Not ironically, O'Donnell is a loyal disciple to the religious agenda that equates sexuality, especially female sexuality, with evil and the decline of humanity. [...] To most mainstream Americans, O'Donnell's concerted battle against solo sexual pleasure in particular is so fringe, so bizarre, it's laughable. Yet, those of us deeply familiar with the ideology of the extremist right wing have long understood the condemnation of sex and sexual pleasure for anything other than the purpose of conception within marriage to be the underpinning of public policies that invite (Christian) God and (big, big) government into our bedrooms.
Knox notes that the same underlying suspicion of human sexuality finds expression in more mainstream areas of American politics, like federally-funded abstinence-only education, which substitutes religious homilies and gender stereotypes for science-based sex ed. (I would add federal funding for some of the nation's aforementioned "crisis pregnancy centers" to Knox's list of examples of anti-sex religious ideology replacing science-based health services.)
This week, O'Donnell drew audible gasps from a crowd when she claimed that the separation of church and state isn't part of the U.S. Constitution, as Monica Potts reports for TAPPED.
O'Donnell may seem bizarre to the average voter, but Knox reminds us that she's pretty typical of a rising tide of anti-sex, anti-science conservatism that we ignore at our peril:
But more accurately she's the poster girl for more than 78 candidates running this election season who share her anti-sex, anti-woman views. These candidates believe abortion should be illegal in all cases, without exception for rape and incest. Some have promised a GOP majority would signal a return to funding failed abstinence-only policies. Ken Buck, the GOP Senate candidate in Colorado, even went so far as to refuse to prosecute a rape because the accuser had "buyer's remorse" over an abortion he alleged she'd had a year before the assault.
Condoms and porn
A porn actor in California became the latest performer to test positive for HIV last week. His diagnosis sent shockwaves through the San Fernando Valley's porn industry because the actor was reportedly a star who worked with a lot of big names in an industry where condoms are the exception rather than the rule.
The case has reignited controversy over the fact that straight porn companies aggressively flout California law that mandates condoms on porn sets. The industry maintains that it doesn't need condoms because it has a rigorous testing program for talent. As I report in Working In These Times the industry is being allowed to investigate the HIV outbreak on its own, which is a little like asking BP to monitor oil spills. The same industry-allied non-profit that administers the tests, and does PR about how great the testing program is, also investigates cases of HIV in the industry. Does anyone else see a potential problem?
Concussions in the NFL
Football season is in full swing, but for Dave Zirin of The Nation and many other football fans, it's getting harder and harder to reconcile their love of the game with our growing awareness of the toll that it takes on players:
In August, to much fanfare, NFL owners finally acknowledged that football-related concussions cause depression, dementia, memory loss and the early onset of Alzheimer's disease. Now that they've opened the door, this concussion discussion is starting to shape how we understand what were previously seen as the NFL's typical helping of off-field controversy and tragedy.
Zirin appends a list of over 30 players who have sustained concussions since the pre-season. Peter King of Sports Illustrated is calling for the NFL to start kicking excessively violent players out of the game, but Zirin says that's not enough to stem the tide of concussions. Devastating brain injuries can come from routine, legal hits. A lot of the cumulative brain trauma leaves players demented in their fifties is actually sustained during practice.
The carnage is built into the game. Concussions are unavoidable given anatomy of the human brain and the physics of huge guys crashing into each other. Helmets only help so much because they can't prevent the brain from smashing against the cranium. Zirin thinks football fans need to do a lot of soul searching. He argues that every fan should think hard about whether it's really that much fun to watch guys get their brains pulped in the name of sport. Zirin's not ready to give up football yet, but he thinks the gnawing guilt may eventually outweigh his love of the game.
Cephalon spokesdoc: "Maybe I am a pervert, I honestly don't know"
Mother Jones and Propublica have a blockbuster exposé of crooked doctors on pharmaceutical company payrolls. They found that a shocking number of "white coat sales reps" (doctors paid by pharmaceutical companies to sell drugs to other doctors) have checkered pasts and dodgy credentials.
For examples, in 2004, a court upheld a Georgia hospital's decision to fire Dr. Donald Ray Taylor, an anesthesiologist who had a habit of giving vaginal and anal exams to young female patients without documenting why. According to court records, Dr. Taylor explained himself to a hospital official as follows, "Maybe I am a pervert, I honestly don't know."
For reasons that are themselves murky, Dr. Taylor went on to become the highest paid speaker for the pharmaceutical giant Cephalon, earning $142,050 in 2009 and an an additional $52,400 through June. It turns out that Dr. Taylor is far from the only shady doc to make big bucks as a shill for big pharma. The investigators found 250 pharma docs with serious blemishes on their records for such offenses as inappropriately prescribing drugs, providing poor care, or having sex with patients. Some were just playing doctor on the pharma circuit, having lost their licenses.
This update brought to you by the Media Consortium, and the letter C.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Seventeen percent of sexually active teenage girls said they used the rhythm method as a means of birth control in 2008, up from just 11% in 2002, according to the latest report from the CDC. For most of these girls "rhythm method" means guessing the least risky day to have unprotected sex. You and I both know that one in five teenage girls isn't taking her temperature every day and charting the consistency of her cervical mucus on the calendar.
Not so ab-fab
Amanda Marcotte of RH Reality Check blames abstinence-only propaganda for the trend. She points out that abstinence-based curricula rely heavily on shame to discourage kids from having sex. Teens who are ashamed don't necessarily abstain, but they are less likely to use birth control when they do have sex. Claiming to use the rhythm method is an excuse not to use real birth control. Marcotte points out that abstinence-only curricula also promotes stereotypes of female passivity and male dominance, which makes it even harder for girls to negotiate condom use.
There is a glimmer of hope, Robin Marty of RH Reality Check reports that the Obama administration is shifting gears on sex ed. For the first time in many years, school districts will be eligible for federal funds to teach evidence-based, comprehensive sex ed. Abstinence-only funding hasn't gone away, but at least districts will have the option.
Recession-based bedroom blues
Interestingly, teens are having slightly less sex overall, according to the CDC. The abstinence-only crowd is trying to take credit, but as Stephanie Mencimer of Mother Jones notes, the recession seems to be putting a damper on the sex lives Americans of all ages. The latest sex survey by the AARP showed that Americans over 45 are having less sex than they were in 2004 and enjoying it less as well.
Looking at the same study, Wendy Strgar of Care2 notes that that teen motherhood has become much more socially acceptable among adolescents, perhaps due to highly publicized teen moms like Bristol Palin and Jamie Spears.
The war on choice
Michelle Chen of RaceWire reports that hundreds of anti-choice bills have been introduced in state legislatures around the country since the passage of national health care reform. Missouri's new Abortion Restriction Act requires abortion clinics to post signs offering state assistance if she has the baby. Too bad the Missouri legislature slashed the funds that would have provided most of those services.
Two moms = healthy kids
In other health news, a new study forthcoming in the journal Pediatrics shows that lesbian couples raise healthier children than straight couples. Gabriel Arana of TAPPED suggests that maybe lesbians do better on average because they are a self-selected group of highly motivated parents that had to overcome obstacles in order to raise their kids. Or maybe two moms are better than one.
As Arana notes, the politically important thing about this study is the finding that same-sex parents are doing at least as well as opposite sex parents. Conservatives opposed to gay rights have often justified second-class citizenship for gays in terms of protecting children from allegedly harmful same-sex parents. Now, science is showing that same-sex families are at least as healthy as more traditional family units.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
This week's health care news was full of mind-bending paradoxes: Prostate health is girly, abstinence-only education works through failure, "principled" libertarian Rand Paul would protect all-white lunch counters but ban private abortion clinics, and more.
This week, President Obama made headlines by reversing George W. Bush's executive order barring researchers who receive federal funds from researching all but a handful of stem cell lines created before 2001.
"Promoting science isn't just about providing resources, it is also about protecting free and open inquiry," Obama wrote. "It is about letting scientists like those here today do their jobs, free from manipulation or coercion, and listening to what they tell us, even when it's inconvenient especially when it's inconvenient. It is about ensuring that scientific data is never distorted or concealed to serve a political agenda and that we make scientific decisions based on facts, not ideology."
“I think abstinence is, I don't know how to put it — like, the main — everyone should be abstinent or whatever, but it's not realistic at all,” new mother Bristol Palin told Greta Van Susteren in an interview on Fox News (video below). Bristol's unwed, teenage pregnancy made headlines last year just as her mother, Gov. Sarah Palin, kicked off her vice presidential bid.
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