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Posts tagged with 'contraception'

Weekly Pulse: Vermont Poised to Pass Single-Payer

Posted Mar 23, 2011 @ 11:02 am by
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Creative Commons, Flickr, Lindsay BeyersteinBy Lindsay Beyerstein, Media Consortium blogger

Vermont is poised to abolish most forms of private health insurance, Lauren Else reports for In These Times. The state’s newly inaugurated Democratic governor, Peter Shumlin, unveiled his health insurance plan in early February. If the state legislature passes the bill, Vermont will become the first state to ban most forms of private health insurance.

The bill is getting support from some unlikely quarters:

On February 24, the Republican Mayor Christopher Louras, of Rutland, urged the state to adopt the single-payer legislation, noting that more than a third of the city’s $7 million annual payroll is consumed by healthcare costs. “The only way to fix the problem is to blow it up and start over,” Louras said.

A very bad doctor

In the Texas Observer, Saul Elbein tells the bizarre story of small-town huckster Dr. Rolando Arafiles and the nurses who exposed him as a quack and paid with their jobs.

Arafiles came to work at Winkler County Memorial Hospital in 2008. Nurses Anne Mitchell and Vickilyn Galle noticed that patients were walking out of his office with mysterious liquids. Arafiles was selling untested dietary supplements.

Sometimes, he even took patients off their real medicine and directed them to buy his cure-alls, which he sold online, and promoted in seminars at the local Pizza Hut. He prescribed powerful thyroid-stimulating drugs to patients with normal thyroid levels, a potentially lethal practice. He was also performing “unconventional” surgeries, even though he wasn’t a surgeon.

The hospital ignored the nurses’ complaints, so they reported Arafiles to the Texas Medical Board. After the board informed Arafiles that he was under investigation, Arafiles got his golf buddy, the local sheriff, to issue a warrant to search the nurses’ computers. The hospital fired the nurses. The local prosecutor indicted them for “misuse of official information” but these charges fizzled out. In 2010, the two women were awarded $750,000 in compensation from the county, but they still haven’t found new nursing jobs.

What are they doing out there?

Lon Newman is the executive director of Family Planning Health Services, a Wisconsin health clinic that offers birth control and other reproductive health care, but doesn’t provide abortions, or even abortion referrals. Anti-choice protesters picket the clinic anyway, Newman reports at RH Reality Check. They carry signs with misleading slogans like “The Pill Kills” and “Stop Chemical Abortion.”

Newman wonders why, given all the pressing problems in Wisconsin, the nation, and the world, some people make it a priority to hang out at Family Planning Health Services and badmouth birth control:

There are so many struggles for freedom, social justice, and disaster relief right now, that I do not think it is justifiable to be blocking access to health care for our uninsured neighbors who want to delay childbearing so they can finish school or take a new job or even wait to have children until they can afford them.

South Dakota institutes 72-hour abortion waiting period

The governor of South Dakota signed legislation this week that will force women seeking abortions in the state to observe a 72-hour waiting period. As Scott Lemieux argues in TAPPED, mandatory waiting period legislation is based on inherently sexist assumptions. By instituting a waiting period, the state is institutionalizing the stereotype that women seeking abortions are acting irrationally and must be coerced into waiting.

Body positive

Body hatred hasn’t been this popular since the days of the hair shirt. Hundreds of millions of women, and no shortage of men, spend billions of hours and billions of dollars despising their bodies. A new movement is afoot to find the political in this very personal issue, Sarah Seltzer reports in AlterNet. This year, the Women’s Therapy Center Institute will hold a series of  summits in New York, London, Sao Paulo, Buenos Aires, and Melbourne. In keeping with the theme of “Loved Bodies, Big Ideas” participants are discussing a range of ideas for helping to improve body image, including  a so-called “reality stamp,” a seal of approval that would indicate that a photograph hasn’t been digitally altered beyond the bounds of reason. Come to think of it, a “reality stamp” could be useful for all kinds of politics.

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.

Weekly Pulse: Japan’s Nuclear Crisis Deepens

Posted Mar 16, 2011 @ 11:00 am by
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Creative Commons, Flickr, simon.huckoBy Lindsay Beyerstein, Media Consortium blogger

A second reactor unit at the Fukushima Daiichi nuclear plant in Japan may have ruptured, authorities announced on Wednesday. This is on top of their earlier revelation that the containment vessel of a separate reactor unit had cracked.

As of Tuesday, four nuclear reactors in Japan seem to be in partial meltdown in the wake of an earthquake and tsunami, according to Christian Parenti of the Nation:

One of them, reactor No. 2, seems to have ruptured. The situation is spinning out of control as radiation levels spike. The US Navy has pulled back its aircraft carrier, the USS Ronald Reagan, after seventeen of its crew were exposed to radiation while flying sixty miles off the Japanese coast.

But despite three major explosions—at reactor No. 1, then No. 3, then No. 2—the Fukushima containment vessels seem to be holding. (Chernobyl lacked that precaution, having only a flimsy cement containment shell that collapsed, allowing the massive release of radioactive material.)

So, the good news is that only one out of four of the reactors is teetering on the brink of a full meltdown, and engineers might still be able to stave off disaster. The bad news, Parenti explains, is that spent fuel rods on the reactor sites could pose grave health hazards even if the threat of meltdown is averted. Even so-called “spent” rods remain highly radioactive.

The big question is whether the facilities that house this waste survived the earthquake, the tsunami, and any subsequent massive explosions at the nearby reactor. Given the magnitude of the destruction, and the relatively flimsy facilities used to house the spent rods, it seems unlikely that all the containment pools emerged unscathed. Parenti explains:

Unlike the reactors, spent fuel pools are not—repeat not—housed in any sort of hardened or sealed containment structures. Rather, the fuel rods are packed tightly together in pools of water that are often several stories above ground.

A pond at the Fukushima Daiichi plant is overheating, but radiation levels were so high that the Japanese military has postponed a helicopter mission to douse the pond with water.

Journalist and environmental activist Harvey Wasserman tells the Real News Network that the housing the spent rods (a.k.a. nuclear waste) is a chronic problem for the global nuclear industry.

Wasserman told GRITtv that the west coast of the United States has reactors that could suffer a similar fate in the event of a sufficiently large earthquake.

“If I were in Japan, I would at least get the children away from the reactor, because their bodies are growing faster and their cells are more susceptible to radiation damage. I would go out to 50 kilometers and at least get the children away from those reactors,” nuclear engineer Arnie Gundersen told DemocracyNow! on Tuesday. At the time he said this, 70,000 residents had already been forced to evacuate their homes, and another 140,000 were ordered to stay indoors.

Mainstreaming anti-contraception

Kirsten Powers, Fox News’ resident self-proclaimed liberal, took to the pages of the Daily Beast recently to make the bizarre case that Planned Parenthood should be de-funded because the 100-year-old organization doesn’t really prevent the half-million abortions that it claims to prevent by supplying millions of clients with reliable birth control. (Powers was forced to concede that a gross statistical error rendered her entire piece invalid.) At RH Reality Check, Amanda Marcotte describes how Powers attempted to repackage fringe anti-contraception arguments for a mainstream audience. At TAPPED, I explain why Planned Parenthood’s abortion-prevention claim is rock solid.

Diet quackery

Unscrupulous doctors are cashing in on the latest diet fad: hormone injections derived from the urine of pregnant women, Kristina Chew notes for Care2.com. Patients pay $1,000 for consultations, a supply human chorionic gonadotropin (hCG), and a 500-calorie-a-day diet plan. There is no evidence that hCG increases weight loss more than a starvation diet alone. But paying $1,000 to inject yourself in the butt every day does evidently work up a hell of a placebo effect.

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.

Weekly Pulse: The Republicans’ War On Women

Posted Feb 23, 2011 @ 11:45 am by
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Creative Commons, Flickr, outcast104By Lindsay Beyerstein, Media Consortium blogger

The entire federal government might shut down over birth control. Yes, birth control. This special edition of the Pulse is about the ongoing war against women being waged in Congress and in state legislatures nationwide.

Cutting birth control

Last Friday, the House voted to amend the continuing resolution to fund the federal government to defund the $317 million Title X Family Planning Program, a major beneficiary of which is Planned Parenthood. None of this money funds abortions. Instead, it goes to birth control, cancer screenings, and other reproductive health services for 5 million low-income Americans.

This kind of preventive care is highly cost-effective. Every federal family planning dollar saves an estimated $4 tax dollars on unintended pregnancy costs alone. Saving money by de-funding contraception is like “saving money” by not paying your rent. It’s not savings if you end up staying in a hotel that costs even more.

As Nick Baumann reports for Mother Jones, Senate Democrats are confident that they can defeat the measure. However, if that happens and the House Republicans won’t pass an acceptable alternative, the federal government will run out of money and shut down until the impasse is resolved. (more…)

Weekly Pulse: Michael Pollan’s Rules for Thanksgiving, Plus Whole Foods’ Healthcare Lies

Posted Nov 24, 2010 @ 11:43 am by
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Creative Commons, Flickr, Lawrence OPEditor’s Note: Happy Thanksgiving from the Media Consortium! This week, we aren’t stopping The Audit, The Pulse, The Diaspora, or The Mulch, but we are taking a bit of a break. Expect shorter blog posts, and The Diaspora and The Mulch will be posted on Wednesday afternoon, instead of their usual Thursday and Friday postings. We’ll return to our normal schedule next week.

by Lindsay Beyerstein, Media Consortium blogger

Wednesday is the heaviest travel day of the year in the United States, as millions of Americans head home to celebrate Thanksgiving. Some of you are probably reading this dispatch on PDAs as you wait in an interminable line at airport security. Here’s some food for thought.

At Grist, food writer Michael Pollan officially declares himself a Rules Guy. Don’t worry, that doesn’t mean he won’t accept a Friday dinner invitation offered after noon on Wednesday. Pollan thinks that our healthy eating skills are passed down to us as part of food culture. In this era of drive-through windows and meal replacement bars, a lot of the old wisdom is falling by the wayside and Americans are finding themselves adrift in a sea of calories. On the eve of Thanksgiving, Pollan provides some helpful guidelines for avoiding the food coma:

[M]any ethnic traditions have their own memorable expressions for what amounts to the same recommendation. Many cultures, for examples, have grappled with the problem of food abundance and come up with different ways of proposing we stop eating before we’re completely full: the Japanese say “hara hachi bu” (“Eat until you are 4/5 full”); Germans advise eaters to “tie off the sack before it’s full.” And the prophet Mohammed recommended that a full belly should contain one-third food, one-third drink, and one-third air. My own Russian-Jewish grandfather used to say at the end of every meal, “I always like to leave the table a little bit hungry.”

But wait, there’s more!

  • Unions representing airline pilots and flight attendants are advising their members to avoid the the TSA’s new backscatter x-ray scans because of concerns about the long-term health effects of x-ray radiation. Crew members who refused scans have been subjected to new “enhanced” pat-down searches. This week, the TSA granted an exception to pilots, but not to flight attendants. As I reported for Working In These Times, all crew members go through the same FBI background check and fingerprinting process. “Don’t touch my junk!” has become a rallying cry for passengers, particularly white men, who are not accustomed to being asked to give up any part of their body’s autonomy for the greater good. Is it a coincidence that 95% of pilots are men and three-quarters of flight attendants are women? [Update: The TSA has relented. The agency announced Tuesday that flight attendants will now get the same exemption as pilots.]
  • Adam Serwer argues in The American Prospect that it’s easy to demand tough security measures when the presumed targets are faceless Muslims in a distant country. When air travelers are asked to compromise their own privacy in the name of security, the tradeoff suddenly seems very different.
  • Employee health insurance deductibles are skyrocketing at Whole Foods and CEO John Mackey is trying to blame the increase on health care reform. “This is very important for everyone to understand: 100% of the increases in deductibles and out-of-pocket maximums in 2011 compared to 2010 are due to new federal mandates and regulations,” Mackey wrote in a corporate memo. In fact, as Josh Harkinson reports in Mother Jones, Mackey’s memo is pure, organic BS. The provisions in the Affordable Care Act that might increase costs won’t go into effect until 2014, so it’s hard to figure out how federal policies could be responsible. Health insurance costs were rising by about 5% per year, year after year, before the Affordable Care Act passed. The truth is that health insurance is getting more expensive because health care is getting more expensive. As Harkinson points out, one of the reasons that health care is getting more expensive is because corporations like Whole Foods are pushing more of their employees into part-time work to avoid covering them. Of course, when those workers get sick, someone has to pick up the cost of their care. So those who have insurance, including some of Whole Foods’ own employees, have to pay more to make up the difference.

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.

Weekly Pulse: The Religious Right vs. Birth Control

Posted Jul 14, 2010 @ 11:06 am by
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by Lindsay Beyerstein, Media Consortium blogger

Does health care reform’s promise of preventive care extend to free birth control? Officials at the Department of Health and Human Services have 18 months to decide whether to require insurers to provide oral contraceptives, IUDs, and other prescription birth control with no co-pay. With pro-choice Secretary Kathleen Sebelius at the helm, HHS is expected to say yes. [Update: The Wall Street Journal is reporting that birth control will not be on the White House's preliminary list of free preventive services, to be issued today. However, as Miriam Perez of feministing explains, HHS will ultimately have the final word. Observers, including Dana Goldstein who covers reproductive rights for the Daily Beast, are optimistic that the pro-choice side will carry the day at HHS.]

At this point in the process, social conservatives are shut out in the cold, quaking with impotent rage. Now that the reform bill is law, HHS has to interpret the rules—and the Obama administration officials at HHS can’t be swayed as easily as elected officials.

Religious right on the warpath

Predictably, the U.S. Conference of Catholic Bishops (USCCB), the National Abstinence Education Association, and the Heritage Foundation are up in arms. They’ve picked a deeply unpopular battle. Abortion remains controversial in some circles, but birth control is as American as baseball. The vast majority of sexually active women in the U.S. tell pollsters that they are not trying to become pregnant, and 89% of them are using some form of birth control.

“Seriously,” writes Monica Potts of TAPPED, “a battle over contraceptives?” Over 15 million Americans currently use hormonal contraception. Studies show that the vast majority of Americans are morally comfortable with birth control.

Expanding access to birth control is smart policy because it reduces health care costs, as Suzi Khimm notes in Mother Jones. Birth control is a lot cheaper for insurers than pregnancy and childbirth. Free birth control could change women’s lives for the better. In this economy, $30-$50 a month for hormonal birth control can be a major obstacle for many. As Michelle Chen notes in ColorLines, women of color are among those hardest hit by out-of-pocket costs.

Birth control as common ground?

Many centrists hope that contraception will be a source of “common ground” between the pro-choice and anti-abortion camps. The premise sounds reasonable. If anti-choicers oppose abortion, surely they will support measures proven to reduce the abortion rate, like expanded access to contraception. Political scientist Scott Lemieux argues in TAPPED that conservative opposition to birth control coverage is further proof that the common ground hypothesis is wishful thinking:

The problem with this line of reasoning is that it ignores the broader set of assumptions about women and sexuality on which actual opposition to abortion is based. Consider anti-choice Republicans, who consistently opposed expanding contraceptive use: Given the choice between reducing abortion rates and controlling female sexuality, they will always choose the latter. Thus the idea that contraception can be a means of achieving a ceasefire in the culture wars has always been a fantasy. Liberals and conservatives aren’t just divided by abortion but by broader questions of female equality and sexual freedom.

The USCCB clearly understands that birth control is broadly popular. Its lobbyists aren’t even trying to argue that birth control shouldn’t be covered because it’s sinful. Instead, they are playing semantic games about what constitutes preventative health care. According to the USCCB, birth control shouldn’t count because fertility isn’t a disease. Be that as it may, pregnancy is a life-altering health condition that can kill you. As a matter of fact, the Catholic Church is on the record as saying that pregnant women must sacrifice their own lives for their fetuses. Ergo, pregnancy prevention is preventive health care.

Approving free birth control would go a long way towards restoring the trust between the Obama administration and its pro-choice base, at low political cost. It seems unlikely that the USCCB and its allies have the power to fuel a national backlash on this one. After all, three quarters of U.S. Catholics disagree with their own church’s teachings on birth control.

Conscience concerns

Speaking of the Department of Health and Human Services, Megan Carpentier at RH Reality Check wonders what happened to President Barack Obama’s early promise to repeal the so-called “conscience clause” rule that allows health care workers to opt out of providing reproductive health care that conflicts with their anti-choice principles. The rule is still on the books, over a year after Obama pledged to repeal it.

FEMA Foul

Finally, how did some BP oil spill cleanup workers end up living in formaldehyde-laced FEMA trailers ruled unfit for human habitation? As I report for Working In These Times, Rep. Henry Waxman (D-CA) chair of the House Energy and Commerce Committee, wants answers from FEMA and the General Services Administration about how these trailers found their way back onto the market.

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.

Weekly Pulse: Dr. George Tiller’s Assassin Was No Lone Wolf

Posted Jun 2, 2010 @ 10:50 am by
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by Lindsay Beyerstein, Media Consortium blogger

When Scott Roeder shot Dr. George Tiller in church last year, media accounts described him as a lone wolf. Roeder acted alone on the day of the assassination, but he was part of a community of career anti-choice terrorists, as Amanda Robb reports in Ms. Magazine.

A community of radical, anti-abortion activists

Over the course of 6 months, Robb interviewed Roeder over a dozen times. She met with his allies at the court house. She even got permission to sit in on phone calls between Roeder and his friends. Robb’s exhaustive investigation revealed that Roeder had for years been enmeshed in a community of radical, anti-abortion activists, many of whom have committed acts of terrorism ranging from clinic arson to butyric acid attacks to murder.

Roeder was not a card-carrying member of any mainstream anti-abortion organization, but he drove to the scene of the crime with the number of Operation Rescue’s senior policy adviser on his dashboard.

Robb’s intensive reporting was supported by the investigative fund of the Nation Institute. (more…)

Weekly Pulse: Anti-Choice Terror in the Heartland

Posted Jun 3, 2009 @ 11:33 am by
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Dr. George Tiller, one of the few physicians in the country who performed second and third trimester abortions, was fatally shot in church on Sunday. It seems that Tiller was marked for death because of his work. The man charged with murdering Tiller, 51-year-old Scott Roeder, has a 20-year history of anti-choice and anti-government extremism.

Tiller’s compassion for his patients was legendary. Even during his lifetime, many referred to him as a saint for risking his own life to perform abortions that few other doctors would provide, irrespective of his patients’ ability to pay. The American Prospect features a moving tribute to Dr. Tiller by Michelle Goldberg, who relates a life story that’s equal parts John Irving and John Grisham:

Tiller never set out to become an abortion provider, or even an ob/gyn. The son of a doctor, Tiller was working as a Navy surgeon when his father, mother, sister, and brother-in-law were killed in a plane crash. He took over his father’s family practice, and soon women started asking him if he was going to do what his father did. That’s how he found out his father had provided abortions in the years before Roe v. Wade. He committed himself to providing the same service.

Nation columnist Katha Pollitt attended a vigil for Dr. Tiller in New York’s Union Square. Pollitt reports that, compared a similar vigil she attended in 1998, the crowd was younger, angrier, and larger. She says that, over a decade after the murder of Dr. Barnett Slepian, people are finally fed up with anti-choice terrorism:

It’s about time. Time to demand federal legal protection for abortion rights. Time to demand that law enforcement take seriously the violent anti-abortion underground. Time for doctors to show some spine, defend their colleagues who perform this necessary service to women and reintegrate abortion into normal medical practice.

Going back to the Prospect, Ann Friedman argues that Tiller’s murder, and the years of violence and intimidation that led up to his assassination show that the United States’ current protections for abortion providers are not working:

Tiller’s clinic, Women’s Health Care Services, was bombed in mid-1980s. In the ’90s, it was the subject of blockades, bomb threats, and a shooting attack — Tiller sustained gunshots to both arms. Just this month, Tiller’s clinic was vandalized, with security cameras and outdoor lights damaged and the downspouts plugged, causing rain to pour through the roof. Protesters routinely gathered outside Tiller’s church. In 2007, two men were arrested for disrupting services to speak out against him. Tiller often had a bodyguard by his side.

While we wait for reform, Attorney General Eric Holder is doing his best to protect abortion providers in the wake of Tiller’s murder. The Colorado Independent’s Ernest Luning reports that Holder has ordered U.S. Marshals to step up security for a late-term abortion provider in Boulder.

A 360-degree harassment of doctors and their staff is part of a deliberate, anti-choice extremist strategy. Josh Harkinson looks back on the time he spent reporting on anti-choice activists in Wichita, the home of Dr. Tiller’s clinic, for Mother Jones. The groups often targeted people at home. “People have a public identity that they like to keep separate from their private identity,” one anti-abortion activist told Harkinson, “but we believe you can’t separate the two when you are talking about killing babies. And people are more likely to listen to what you say and be influenced when you bring the issue home to where they work and live.”

In other reproductive health news, Rachel K. Jones, a co-author of a controversial paper arguing that sex educators should present withdrawal as a legitimate method of birth control, defends her study by questioning the motives of her critics in the blogosphere:

This general view of withdrawal informs another response – sheer disbelief. In my work I’ve grown used to promoters of abstinence-only-until-marriage programs dismissing facts about the effectiveness of contraception. However, I’m surprised to see such disparagement of withdrawal among a crowd that is presumably younger, more diverse and more open-minded. Perhaps because most of us have been told for so long that withdrawal doesn’t work, we are unable or unwilling to embrace scientific evidence that counters what we “know.”

I would argue that, on the contrary, Jones’ study has been criticized for its shoddy evidence. The authors admit at the outset that there’s very little research on withdrawal and that the practice has not been systematically tested in clinical trials, unlike other forms of birth control. Most of what we know about the practice comes from small studies, and/or studies that weren’t designed to measure the efficacy of withdrawal as it is actually used. (For more discussion of the study, see last week’s Pulse.) The evidence the authors present barely supports the contention that withdrawal deserves more study. However, they go much further, suggesting that sex educators change their curricula to present withdrawal in a more favorable light. Many of Jones’ critics found that suggestion irresponsible. Before lecturing her critics about their receptiveness to evidence, Jones should take a hard look at the gap between her evidence and her recommendations.

Recent events have pushed reproductive choice to the forefront of national consciousness. For the latest on healthcare controversies, big and small, stay tuned to the Weekly Pulse.

Weekly Pulse: Czar 44, Where are You?

Posted Feb 25, 2009 @ 10:37 am by
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Weekly Pulse: Czar 44, Where are You?
By Lindsay Beyerstein, TMC MediaWire blogger

The Obama administration may be about to pull the plug on the health czar. The position has gone unfilled since Obama’s appointee-apparent, former Sen. Tom Daschle, withdrew his name from consideration for both czar and Secretary of Health and Human Services (HHS) in early February. Several serious candidates are emerging in the unofficial race to lead HHS, but there’s no corresponding shortlist for health czar.

The czar and his Office of Health Reform were initially touted as proof that Obama was really serious about shepherding a health reform package through Congress. But the Obama team may ultimately decide that the Office of Health Reform is an obstacle instead of an asset without Daschle and ditch it altogether.

As Erza Klein explains in the American Prospect, the position was created especially for Daschle and any other candidate might be worse than nothing as far as passing a healthcare reform package goes. Steve Benen of the Washington Monthly agrees, and says that nixing the health czar doesn’t necessarily indicate that the Obama administration is any less committed to healthcare reform.

The purpose of the health czar was to create a single emissary to represent President Obama’s healthcare agenda to Congress. When the Clintons tried to reform healthcare in 1993, they discovered that various powerful administration officials were claiming to speak for the president.

The health czar was supposed to prevent future confusion as the president’s spokesperson. Many senior healthcare officials are already close to Obama and a similar situation could arise. Daschle would have been a credible health czar because he’s closer to the president than any of them, and a former congressional heavyweight to boot. Gov. Kathleen Sebelius is a front-runner for HHS secretary and she has a very good relationship with Obama. But Gov. Sebelius is a Washington outsider who has never served in the U.S. Congress, which might make her a less compelling candidate for czar.

Ezra Klein, linked above, argues that if nobody can fill Daschle’s shoes, appointing a less compelling czar might just add to the din of executive branch officials vying for the attention of key Congressional leaders.

Maybe it’s a good idea to send as many Obama health officials to Congress as possible. If nothing else, they might cut into time the reps are currently spending with health insurance industry lobbyists, as Talking Points Memo reports.

Speaking of contenders for Secretary of Health and Human Services, Gov. Howard Dean recently published an article on AlterNet defending Obama’s comparative effectiveness research (CER) agenda against right wing critics like Rush Limbaugh. Dean draws on his experience as a doctor and a healthcare policy-maker to argue that CER is a way to put more scientific evidence in the hands of doctors, so they can choose the very best treatment for the money. Right wingers don’t like the idea. They’re literally afraid that if science determines that a treatment is bogus, the government will stop paying for it. Right wingers calls this “rationing.” Taxpayers might call it evidence-based policy. Last we checked, Medicare and Medicaid were not faith-based programs.

As Dean points out, the CER to be funded by the new economic stimulus bill is officially for doctors, not legislators. “Mr. Limbaugh and his cohorts would have you believe that this research will be used to deny needed care to your great Aunt May and be run by the politburo. But the Bill passed by Congress states right up front that the Government can not make coverage decisions based on this research,” Dean wrote. Realistically, though, that’s kind of a hollow assurance. Once the research is done, there’s no way to stop legislators from using publicly available research findings to make healthcare decisions.

In another corner of the healthcare reform-o-sphere, Katrina vanden Heuvel says that time is right to reform New York’s draconian Rockefeller Drug Laws in The Nation. These laws have been on the books 35 years. The laws essentially force judges to send drug possessors to jail based on the weight of the drugs they were caught with, whether the judge thinks imprisonment would be a good idea or not. New York’s budget crisis might be a blessing in disguise for drug reform, vanden Heuvel argues, because policy-makers are sick of paying to keep drug offenders locked up whether they need it or not.

And finally, some good news from RH Reality Check. Many people just wouldn’t feel right stepping out without a spritz of perfume, a blast of breath-freshener, or regrettably, a head-to-toe shellacking with Axe Body Spray. As Joe Veix reports for RH, another spray-on product may one day be added to the essential equipment list: contraceptive. An Australian company is currently testing a hormone spritz for women. The product is applied to the forearm. Like the contraceptive patch, the spray is designed to deliver hormones through the skin. Researchers hope that through-the-skin delivery can produce the same results as pills, but with lower doses of hormones and fewer side effects.

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