Hospitals

Subterms

    Latest story

    125 Shares102 Views

    Trump Returns to a Favorite Issue: Health Care Price Transparency

    by

    In a new executive order, President Trump will reaffirm his commitment to one of his favorite health care policies of his first term: His push to make the prices paid for medical services more public and transparent.Mr. Trump will sign the order on Tuesday afternoon, according to a White House official. After years of halfhearted compliance from hospitals and insurance companies with the previous policies, Mr. Trump is signaling a more aggressive approach to enforcing the rules and making pricing data accessible to patients, the official said.Health care prices have historically been shrouded in secrecy, negotiated in private between doctors, hospitals, drug companies and the insurance companies that pay their bills. The parties in those negotiations have fought hard to keep those numbers out of public view, saying that confidentiality is key to their bargaining process. Economics literature — which relied heavily on a study of Danish concrete prices in the 1990s — has suggested that making them public could actually backfire, by increasing health care prices.But with two major rules issued jointly by the departments of Health and Human Services, Treasury and Labor during his first term, Mr. Trump tried to force the industry to become more transparent. One rule required hospitals to publish the prices they charged to various insurers for a set of common services. Another required insurance companies to publish a more comprehensive listing of the prices they had negotiated with various health care providers.Industry compliance has been grudging, slow and marked by extensive litigation. After the rules became final in 2021, many hospitals simply declined to publish the required lists. Others tried to make their price information hard to find. The Wall Street Journal reported that several had inserted code into their web pages listing prices that made the pages impossible to find using an internet search engine.Nevertheless, the requirement did provide new information to researchers, employers and some patients about the nature of health care prices — and their wide and often inexplicable variation. The policy has so far not delivered on one of Mr. Trump’s key promises from his last term, that price transparency would significantly drive down health care costs. Health care prices have continued to rise.The new executive order will task H.H.S., Treasury and Labor with considering new ways to expand the reach of current initiatives, but it does not call for much in the way of specific new policy. Any meaningful new transparency initiative would require regulatory action or legislation, or both. But the signing of the new order does suggest that Mr. Trump has not forgotten about this priority, which he often referred to in his first term as “bigger than health care itself.” More

    More stories

    • 63 Shares159 Views

      in Elections

      An Invisible Medical Shortage: Oxygen

      by

      Oxygen is vital to many medical procedures. But a safe, affordable supply is severely lacking around the world, according to a new report.At the height of the Covid-19 pandemic, millions of people in poor nations died literally gasping for breath, even in hospitals. What they lacked was medical oxygen, which is in short supply in much of the world.On Monday, a panel of experts published a comprehensive report on the shortage. Each year, the report noted, more than 370 million people worldwide need oxygen as part of their medical care, but fewer than 1 in 3 receive it, jeopardizing the health and lives of those who do not. Access to safe and affordable medical oxygen is especially limited in low- and middle-income nations.“The need is very urgent,” said Dr. Hamish Graham, a pediatrician and a lead author of the report. “We know that there’s more epidemics coming, and there’ll be another pandemic, probably like Covid, within the next 15 to 20 years.”The report, published in The Lancet Global Health, comes just weeks after the Trump administration froze foreign aid programs, including some that could improve access to oxygen.Boosting the availability of medical oxygen would require an investment of about $6.8 billion, the report noted. “Within the current climate, that’s obviously going to become a bit more of a challenge,” said Carina King, an infectious disease epidemiologist at the Karolinska Institute and a lead author of the report.Still, she said, governments and funding organizations should prioritize medical oxygen because of its importance across health care. People of all ages may need oxygen for pneumonia and other respiratory conditions, for severe infections including malaria and sepsis, for surgeries and for chronic lung conditions.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

    • 163 Shares185 Views

      in Elections

      How Trump’s Medical Research Cuts Would Hit Colleges and Hospitals in Every State

      by

      A proposal by the Trump administration to reduce the size of grants for institutions conducting medical research would have far-reaching effects, and not just for elite universities and the coastal states where many are located. Also at risk could be grants from the National Institutes of Health to numerous hospitals that conduct clinical research on […] More

    • 150 Shares169 Views

      in Elections

      Amid Concern Over Trump Order, New Yorkers Rally to Support Trans Youth

      by

      Thousands of protesters in Union Square called for action against an executive order that threatens to withhold federal funding from hospitals that provide gender-affirming care.Bells, drums and chants rang out Saturday afternoon in Union Square in Manhattan as thousands of New Yorkers gathered to protest an executive order from the Trump administration targeting transgender children and teens.The order, which threatens to withhold federal funding from hospitals that provide gender-affirming treatments to trans youth, has left many local families worried and reeling.At the rally, parents and children came together with activists and lawmakers to share their stories and call for action against President Trump’s policies.Juno Krebs, 10, a nonbinary student from Brooklyn, said the executive order was “scary” and that it felt like the administration was “trying to take away our rights.”“I don’t identify as a girl or a boy, and I should be respected for that,” Juno said. “It doesn’t feel any different. It just feels like me, honestly.”For Michelle Byron, the mother of a transgender and nonbinary teenager, the order has raised painful and frightening questions about her child’s ability to continue receiving gender-affirming care, which can include hormone therapy, puberty blockers and surgery, though such procedures are rare for minors.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

    • 100 Shares189 Views

      in Elections

      The Unnecessary Suffering of Women With Obstetric Fistulas

      by

      One of the most dangerous things a woman can do in much of the world is become pregnant, and the risks caught up with a Kenyan named Alice Wanjiru a decade ago.Then 20 years old and pregnant for the first time, she suffered a childbirth injury called an obstetric fistula, caused by prolonged labor without access to a C-section to end it. This left her with a hole in the tissue between her rectum and her vagina, and for 10 years she endured the humiliation of continually leaking stool through her genital tract.“I could never get fully clean, for there was always some stool left,” she told me. “The other women would say, ‘She is the woman who stinks.’ I would ask God, ‘Why me? Why can’t I be like other women?’”Wanjiru bathed herself several times a day, fasted from morning until evening so there wouldn’t be much in her digestive tract during the day, and always wore a sanitary pad. Doctors misdiagnosed her, sex was a nightmare and her husband abandoned her after harshly accusing her of having poor hygiene.Shamed by the continuous odor, she withdrew from friends and stayed home from church and other gatherings. She endured her shame in solitude, year after year.Perhaps one million or two million women worldwide are enduring fistulas and leak stool or, more commonly, urine through their vaginas. These are typically impoverished women in poor countries where home births are the norm, who couldn’t get to a doctor in time for a needed C-section.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

    • 125 Shares179 Views

      in Elections

      Syria Fighting Worsens Already Dire Conditions in Idlib and Aleppo

      by

      Years of war and a powerful earthquake had led to crushing poverty, displacement and breakdowns in services. But over the last several days, the region’s misery deepened.Hospitals have been ripped apart by airstrikes. Nearly 50,000 people have fled their homes, and tens of thousands lack running water. Civilians are being laid out in body bags on hospital floors after shells struck their neighborhoods.Scenes from the bloodiest days of Syria’s civil war, which had lain largely dormant for several years, are now repeating themselves in the country’s northwest as pro-government forces try to beat back a surprise rebel offensive, according to aid workers, a war monitor and the United Nations, who warned of a rapidly worsening humanitarian situation.Conditions were already dire for civilians in the area: Years of war and a powerful February 2023 earthquake had led to crushing poverty, displacement and breakdowns in services. But over the last several days, the region’s misery deepened as Russian and Syrian fighter jets have repeatedly struck Idlib and Aleppo in northwestern Syria and rebels fought to capture more territory.The United Nations said more than 50 airstrikes had hit Idlib Province in northwestern Syria on Sunday and Monday. Four health facilities, four schools and two camps housing people displaced from earlier phases of the conflict suffered damage, it said.Stéphane Dujarric, a U.N. spokesman, said in a briefing Monday night that a strike on a water station had also cut off access for at least 40,000 people. And the Norwegian Refugee Council, which provides aid in the region, said its humanitarian workers were reporting that bakeries and shops had shut down in Aleppo, leading to food shortages.Damage at a camp for displaced people north of Idlib on Monday. The United Nations said two such camps suffered damage in recent days.Ghaith Alsayed/Associated PressWe are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

    • 138 Shares189 Views

      in Elections

      Urologist Who Sexually Abused Patients Is Sentenced to Life in Prison

      by

      Darius A. Paduch, a fertility specialist, assaulted men and boys for years at prominent New York hospitals, prosecutors said.A urologist convicted of sexually abusing seven patients, including five who were minors, was sentenced to life in prison on Wednesday, prosecutors said.The doctor, Darius A. Paduch, a fertility specialist, molested boys and young men for years at two prominent New York hospitals, prosecutors said. Hundreds of other young men and boys have also accused Dr. Paduch, 57, of abuse spanning more than 15 years in scores of civil suits.Dr. Paduch “was a sexual predator who preyed on patients seeking treatment for sensitive medical issues,” Damian Williams, the U.S. attorney in Manhattan, said in a statement on Wednesday. “He used his position as a renowned urologist at prestigious hospitals to sexually assault vulnerable patients, including children, to gratify his own sexual desires.”In May, a jury found him guilty of five counts of inducing a minor to engage in unlawful sexual activity and six counts of enticing people to travel to engage in unlawful sexual activity. The trial lasted just two weeks.On Wednesday, his sentence was handed down by Judge Ronnie Abrams in federal court in Manhattan.Dr. Paduch, of North Bergen, N.J., was arrested last April. He has been barred from practicing in New York. Through the trial, he maintained his innocence. A lawyer who represented him, Michael Baldassare, said on Wednesday that “we are confident that one day he will be vindicated.”Once a urologist who specialized in treating patients with a genetic condition, Dr. Paduch worked at hospitals including NewYork-Presbyterian Hospital and Weill-Cornell Medical Center in Manhattan and Northwell Health on Long Island. According to prosecutors, he used his position at prominent hospitals “to make the victims believe that the sexual abuse he inflicted on them was medically necessary and appropriate, when, in fact, it was not.”The abuse continued over several years in some cases, as Dr. Paduch instructed the patients to return for follow-up appointments, where he continued to assault them. During appointments, the indictment said, Dr. Paduch told patients to masturbate in front of him, sometimes groping them or showing them pornography.During the course of the trial, 11 victims testified about abuse they had suffered under Dr. Paduch’s care, and dozens more wrote impact statements before he was sentenced Wednesday.Mallory Allen, a lawyer for a firm that represents 140 former patients who have filed civil suits against him, said in a statement that the sentence affirms that “heinous sexual abuse will not be overlooked.”Survivors of the abuse have also sued the hospitals where he worked under the Adult Survivors Act, which opened a yearlong window between 2022 and 2023 during which adult victims of abuse could file claims even after the statute of limitations had passed.“While no sentence can ever undo the pain and suffering endured by each and every survivor who experienced abuse at the hands of Dr. Darius Paduch, the sentencing closes an important chapter for these survivors,” Ms. Allen said in the statement. More

    • 138 Shares119 Views

      in Elections

      Fighting Rages in Gaza and Lebanon, Despite Killing of Hamas Leader

      by

      Peace talks were nowhere in sight and, despite Yahya Sinwar’s death, the violence seemed only to increase, as Israel struck northern Gaza and Hezbollah fired dozens of projectiles.Israeli forces pounded targets in the northern Gaza town of Jabaliya on Saturday, killing at least 33 people and injuring dozens of others in the bombardment, a Palestinian emergency services group said.Israel has surrounded Jabaliya for a week as it seeks to root out Hamas fighters who it says have reorganized in the area. Since Friday, approximately 20,000 Palestinians have fled the neighborhood, according to UNRWA, the main United Nations agency aiding Palestinians in Gaza, amid Israel’s bombardment. Paltel, the largest telecommunications provider in Gaza, said that internet service was completely down in northern Gaza.Fighting also escalated in Lebanon on Saturday, as the Israeli military targeted several areas outside of Beirut in airstrikes that covered the area in clouds of dust. The resurgence in attacks, after several days of relative calm, came after Hezbollah warned of “a new and escalating phase” in the conflict with Israel.In Gaza, the Gazan Health Ministry reported that Israeli forces had targeted the entrance of the laboratory at Kamal Adwan Hospital, a major facility near Jabaliya, killing one person and injuring several others. The ministry has warned of a crisis in Gaza’s hospitals, citing fuel shortages and a lack of essential medicines and medical supplies.There were also reports of an Israeli airstrike hitting a residential building in Beit Lahia, in northern Gaza, with Hamas officials saying dozens of people had been killed. Medhat Abbas, a spokesman for the Gaza Health Ministry, also said dozens of people were wounded and missing, according to Reuters.The Israeli military said it was examining what had happened. It also said that it disputed the death toll released by Hamas officials, saying it “did not align” with the military’s initial assessment.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

    • 138 Shares189 Views

      in US Politics

      US Senate votes unanimously to hold hospital CEO in criminal contempt

      by

      The US Senate has voted unanimously to hold the CEO of Steward Health Care in criminal contempt for failing to comply with a congressional subpoena – marking the first time in more than 50 years that the chamber has moved to hold someone in criminal contempt.On Wednesday, the Senate voted to hold Ralph de la Torre in contempt of Congress after the 58-year-old head of the Massachusetts-based for-profit healthcare system – which declared bankruptcy earlier this year – ignored a congressional subpoena and failed to appear at a hearing over the hospital chain’s alleged abuse of finances on 12 September.During Wednesday’s session, Bernie Sanders, Vermont senator and chair of the Senate’s health, education, labor and pensions (Help) committee, said: “The passage of this resolution by the full Senate will make clear that even though Dr de la Torre may be worth hundreds of millions of dollars, even though he may be able to buy fancy yachts and private jets and luxurious accommodations throughout the world, even though he may be able to afford some of the most expensive lawyers in America, no, Dr de la Torre is not above the law.“If you defy a congressional subpoena, you will be held accountable, no matter who you are or how well-connected you may be,” Sanders said.Similarly, Bill Cassidy, Louisiana senator and ranking member of Help, said: “Steward’s mismanagement has nationwide implications affecting patient care in more than 30 hospitals across eight states.“Through the committee’s investigation, it became evident that a thorough review of chief executive officer Dr Ralph de la Torre’s management decisions was essential to understand Steward’s financial problems and its failure to serve its patients,” Cassidy said of De la Torre, who was paid at least $250m by Steward Health Care as the hospital chain’s administrators struggled with facility problems, staffing shortages and closures.Investigations by the Boston Globe revealed that as more than a dozen Steward Health Care patients died in recent years after being unable to receive adequate treatment, De la Torre embarked on various jet travels and private yacht excursions across the Caribbean and French Riviera.The Boston Globe also revealed that De la Torre frequently used the hospital chain’s bank account as his own, including to make purchases to renovate an €8m ($8.9m) apartment in Madrid and to make donations of millions of dollars to his children’s private school.In July, the outlet reported that the justice department was investigating Steward Health Care for potential foreign corruption violations. It also reported that a federal grand jury in Boston was investigating the hospital chain’s financial dealings including its compensations for top executives.During Wednesday’s session, the Massachusetts senator Ed Markey condemned what he called a “culmination of a financial tragedy over the past decade”.“Steward, led by its founder and CEO Dr Ralph de la Torre and his corporate enablers, looted hospitals across the country for their own profit, and while they got rich, workers, patients and communities suffered, nurses paid out of pocket for cardboard bereavement boxes for the babies to help grieving parents who had just lost a newborn,” said Markey.“Dr de la Torre is using his blood-soaked gains to hide behind corporate lawyers instead of responding to the United States Senate’s demand for actions. But while he tries to run and hide, Dr de la Torre is revealing himself for what he truly is – a physician who places personal gain over his duty to do no harm,” he added. More