Healthcare Wednesday


• Missouri voters on Tuesday overwhelmingly approved a state law prohibiting the government from requiring individuals to buy health insurance or face a fine — a central provision of the Democrats' healthcare reform law. The vote — the first of its kind since the reform bill passed in March — is largely symbolic: a state law won't trump the federal requirement, if the courts decide that requirement is constitutional. (A number of cases challenging the constitutionality of the provision are moving through the courts already.)

There's plenty of time left to haggle: the individual insurance requirement doesn't take effect until 2014.  


• Consumer advocates and the medical device lobby are at odds over Tuesday's proposed FDA safety rules governing new products that resemble previously approved ones.

The changes, warned Stephen Ubl, chief executive officer of the Advanced Medical Technology Association, "could result in a significant disruption to a program that has served patients well for more than 30 years.”

Not so, Diana Zuckerman, president of the National Research Center for Women & Families, told Bloomberg. “We need more scientific clinical studies to make sure that people getting medical devices are better off than people who don’t get them,” she said, adding that the new proposals are "very industry-focused." 

• Rand PaulRandal (Rand) Howard PaulPoll: 58 percent say Fauci should not resign Fauci says he puts 'very little weight in the craziness of condemning me' Senate confirms Biden pick for No. 2 role at Interior MORE, GOP hopeful to replace Sen. Jim Bunning (R) in Kentucky, is all over the place when it comes to mine safety. At a campaign stop in May, he told an audience that local government, not Congress, should be responsible for writing mine-safety guidelines. 

"The bottom line is I'm not an expert, so don't give me the power in Washington to be making rules," Paul said, according to a recent profile in Details magazine. "You live here, and you have to work in the mines. You'd try to make good rules to protect your people here. If you don't, I'm thinking that no one will apply for those jobs." 

This week, his campaign backtracked — sort of. 


"Dr. Paul has never said that Congress should not be involved in mine safety," spokesman Ryan Hogan said in an e-mail. "He has been clear that he does favor more local and state control over mine safety, done by experts in the field, rather than ham-fisted, one-size-fits-all dictates from Washington. ... That does not exclude the federal government, but rather sets Dr. Paul's belief in who can best handle this vital function."

That should clear things up.

• America is getting more and more obese, the Centers for Disease Control and Prevention reported Tuesday, costing the country roughly $150 billion in unnecessary treatments each year. 


• The Senate Health, Education, Labor and Pensions Committee meets this morning to discuss emerging trends in the for-profit education business. Those schools are pumping out a huge percentage of the health professionals needed to meet the ever-rising demand for healthcare services, but there's a growing concern on Capitol Hill that a disproportionate share of the tuition — much of it in the form of federal grants — is going to profits, rather than education services.

• The Alzheimer's Association hosts a news conference Wednesday on the diagnostic criteria surrounding the disease.  

• The Cato Institute will mediate a Capitol Hill briefing to examine the effects of the new healthcare reform law. 

• And the Consumer Product Safety Commission meets this morning to examine pool and spa safety.