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THE PROGNOSIS

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House Democrats voted about actually to acknowledgment a key axle of Obamacare, (AP Photo/J. Scott Applewhite)

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Another above axle of Obamacare fell by the wayside on Wednesday. But this time, the change was spearheaded by abounding of the 2010 health-care law’s fiercest supporters: Democrats.

The Democratic-led House voted about unanimously, 419 to 6, to assuredly abolition the alleged “Cadillac tax” on acceptable employer health-care affairs that was advised to acutely accommodate health-care costs over the connected term. But the tax was neverimplemented and was adjoin by some of the Democrats’ best important political allies: unions, abounding of whose associates adjourned cher health-care affairs in lieu of allowance hikes.

The Senate is additionally accustomed to booty up the admeasurement — Sen. Martin Heinrich (D-N.M.) is the sponsor of a agnate bill in the aerial alcove — in one of the few health-care measures that has bipartisan support.

Getting rid of the tax marks a hasty point of acceding amidst the parties, who accept begin about annihilation to affiliate about on bloom affliction and the Affordable Affliction Act especially. And it added weakens Obamacare, which Admiral Trump and his allies accept again chipped abroad at back he took office. Though Republicans bootless to abolition and alter the law, they did rollback its claim to crave bodies to buy coverage and the Trump Justice Department has banned to defend  in cloister a GOP-led accusation gluttonous to annihilate the law.

But that accessory acrimony begin accustomed account bygone in the vote to bang the “Cadillac tax,” which had already been delayed alert and was set to booty aftereffect in 2022.

The better aftereffect of the abolition — if the Senate ultimately signs on and Trump agrees — would be to abolish one of the key means architects of the admeasurement advised to pay for the ACA and do annihilation to stop the ascent aisle of health-care costs.

The Congressional Budget Appointment estimated abolition of the tax would cost nearly $200 billion over the abutting decade. But it had connected been the ambition of ire from unions, businesses and bloom insurers.

“Delayed again by Congress, the tax would appoint a 40 percent customs tax alpha in 2022 on employer-provided bloom allowances that beat $11,200 for an alone and $30,100 for a family. The abstraction was to abate soaring health care costs by black administering from alms such acceptable plans, as able-bodied as to pay for the battleground law anesthetized by a Democratic Congress in 2010,” letters my aide Yasmeen Abutaleb.

Yasmeen reports: “’The abounding abolition of the Cadillac tax would annihilate one of the best consequential action levers to actually lower bloom affliction costs,’ said Benedic Ippolito, a bloom economist at the American Enterprise Institute. ‘When it comes to alive behavior about what to do about spending, ironically there’s bipartisan, bicameral acceding that we actually shouldn’t do anything.’”

It’s not a done accord yet afterwards access in Senate. But that didn’t stop the tax’s opponents from auspicious its incremental demise.

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AHH, OOF and OUCH

AHH: Biologic balance deaths saw a apparent bead in the Affiliated States – a 5.1 percent abatement from 2017 to 2018 – according to conditional abstracts from the Centers for Ache Control and Prevention. If the abatement charcoal abiding back final numbers are accustomed afterwards this year, it could “represent the aboriginal cogent abatement in biologic balance deaths back the 1990s,” our Post aide Christopher Ingraham reports.

Among the categories included in the CDC’s basic data, the better drop involved decree painkillers: a absolute of 12,757 baleful overdoses occurred involving decree painkillers in 2018, compared with 14,495 in 2017. That abatement in painkiller-related baleful overdoses could be accepting a above appulse on the crumbling rates.

“The latest conditional abstracts on balance deaths appearance that America’s affiliated efforts to barrier opioid use ataxia and addiction are working,” Bloom and Human Casework Secretary Alex Azar said in a statement. “Lives are actuality saved, and we’re alpha to win the action adjoin this crisis.”

Keith Humphreys, a above chief action adviser at the White House Appointment of Civic Biologic Control Policy, told Christopher the abatement in painkiller overdoses may be because doctors are prescribing beneath opioids, which translates over time to beneath bodies developing a annex and beneath overdoses.

But not all the abstracts credibility are declining: “Synthetic opiates including fentanyl connected to drive tens of bags of deaths in 2018. Cocaine and methamphetamine deaths additionally rose decidedly aftermost year,” our aide reports. 

Tourists airing about the pyramid of the Louvre museum, in Paris. (AP Photo/Michel Euler, File)

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OOF: The Louvre in Paris has taken bottomward the name of the Sackler ancestors from a arcade access and added signs, the aboriginal above building to do so amidst a growing backfire adjoin the ancestors whose name has become added angry to the opioid epidemic, the New York Times’s Alex Marshall reports.

A Louvre bouncer told the Times that a applique acknowledging the family’s donations was removed from the access of the Sackler Addition of Oriental Antiquities earlier this ages while the addition was broke to visitors. Another ample assurance was additionally removed and nine added signs at the building referencing the addition were taped over. References to the addition were additionally removed from the website. Alex letters that “Jean-Luc Martinez, the museum’s president, told RTL, a French radio station, that the Sackler name had been taken bottomward because the Louvre’s action on allotment rights is that they aftermost for 20 years.”

After the British Civic Portrait Arcade angry bottomward a $1.3 actor donation from the Sackler’s accommodating group, added institutions including the Tate museums in Britain and New York’s Solomon R. Guggenheim Building said they would stop demography donations from the ancestors that has both accordingly and alone accustomed to above cultural institutions for decades.

“But abounding museums additionally said they would account accomplished alms and would not be alteration the name of any addition or arcade alleged afterwards the family,” Alex writes.

Health workers cutting careful apparel booty their about-face at a assay centermost in Beni, Congo DRC. (AP Photo/Jerome Delay)

OUCH: The Ebola beginning in eastern Congo is now a all-around bloom emergency. The World Bloom Alignment fabricated the attenuate acknowledgment yesterday, aloof canicule afterwards a aboriginal case of the virus was accustomed in Goma, a above burghal on the bound with Rwanda, our Post aide Max Bearak reports. 

There accept been 2,500 bodies adulterated and 1,700 accept died back Ebola began overextension aftermost summer. 

The accommodation to acknowledge the outbreak a “public bloom emergency of all-embracing concern” came afterwards a board of 10 scientists beneath to dos o three times before. “The board said delays in allotment had accountable the acknowledgment and hoped the acknowledgment would add to the all-embracing community’s faculty of urgency. But associates additionally cautioned adjoin application the acknowledgment to appoint castigating biking restrictions on countries in the afflicted area,” Max reports. 

From WHO Director-General Tedros Adhanom Ghebreyesus:

HEALTH ON THE HILL

Democratic presidential candidate, Sen. Bernie Sanders (I-Vt.), gives a accent on his “Medicare for All” angle at George Washington University in Washington. (AP Photo/Patrick Semansky)

— Sen. Bernie Sanders’s latest claiming to the Democratic presidential field: adios money from bloom allowance and biologic companies.

The absolute agent from Vermont announced a “No Bloom Allowance and Pharma Money Pledge” to adios any donations “over $200 from the PACs, lobbyists, or admiral of bloom allowance or biologic companies” except for contributions from “rank-and-file workers active by biologic giants and bloom allowance companies.”

ABC News’s Soo Rin Kim, Adam Kelsey and Lissette Rodriguez address that beforehand in the campaign, Sanders accustomed such donations, anecdotic “at atomic three contributions of added than $200 from two alone donors who could be advised admiral at companies included on the list.” 

During a accent a George Washington University yesterday, Sanders additionally dedicated his Medicare-for-all proposal amid a anniversary of public action with above carnality admiral Joe Biden, who apparent his own health-care plan to aggrandize the ACA while creating a accessible bloom affliction option.

With his new pledge, as our Post aide Sean Sullivan writes, Sanders additionally “underscores his admiration to aggrandize the agitation over bloom affliction above the aggressive action proposals and shows how his attack is abduction on bloom affliction as an able affair to apply adjoin the added centrist Biden — a action Biden appears to welcome. Sanders has autonomous not to authority fundraisers accouterment to affluent donors and is not apparent by allowance and biologic companies as an ally. Biden, in contrast, has some ties to those industries. He has accustomed four-figure donations from admiral at companies such as Merck & Co. Inc., Independence Blue Cross and Gilead Sciences, attack accounts annal show.”

Other candidates, including Sen. Kamala D. Harris (Calif.) and South Bend, Ind., Mayor Pete Buttigieg, accept additionally taken contributions from industry admiral or lobbyists, Sean reports. 

Rep. Frank Pallone (D-N.J.), armchair of the House Energy and Commerce Committee, faces criticism for abetment a bipartisan plan to armamentarium association bloom centers. Rep. Pramila Jayapal (D-Wash.), co-chair of the Congressional Accelerating Caucus, says the plan amounts to a “deep” cut in analytical bloom services. (AP Photo/Julio Cortez, File) 

— Several Democratic assembly are pointing fingers at associates of their own affair for proposing a plan that would cut bloom affliction casework for poor Americans.

“Rep. Frank Pallone Jr. (D-N.J.), armchair of the House Energy and Commerce Committee, is blame a bipartisan plan that would accommodate collapsed levels of federal allotment for hundreds of association bloom centers nationwide, at about $4 billion for the abutting four years,” our Post aide Jeff Stein reports. “A agnate plan is advancing in the Senate with the abutment of Sen. Patty Murray (D-Wash.), the top Democrat on the Health, Education, Labor and Pensions committee.”

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While Pallone argues the plan would abstain a September borderline afterwards which allotment for association bloom centers would lapse, collapsed allotment could additionally abate how abounding bodies these centers could serve – one able told Jeff that 4 actor beneath bodies would be served annually by 2023. Meanwhile, accelerating assembly including Sanders, Reps. Ro Khanna (D-Calif.), Alexandria Ocasio-Cortez (D-N.Y.), and Pramila Jayapal (D-Wash.) say they should instead beforehand for the House to accept a allotment access for the centers, and again try to ability a deal with Senate Republicans.

“We should be essentially accretion funding. I was very, actual aghast by Democratic leadership,” Sanders told Jeff. “We will do aggregate we can to adjust this.”

OPIOID OPTICS

— In case you absent it: Previously bearding abstracts from the Biologic Administering Administration appear this anniversary revealed the better biologic companies in America caked tens of billions of affliction pills into the country from 2006 to 2012 – a abstracts accession appear afterward a year-long acknowledged action by The Washington Post and HD Media, administrator of the Charleston Gazette-Mail in West Virginia.

The Post accomplished out to the opioid distributors, pharmacies and manufacturers to acknowledge to the adventure and our colleagues Aaron C. Davis and Jenn Abelson include their accessible responses here.

A Post aggregation additionally put calm an alternate clear that highlights area the accomplished concentrations were of oxycodone and hydrocodone pills in that time frame: “It is a basic alley map to the opioid epidemic. Yearly totals appearance the arrival of pills in the U.S. amidst 2006 and 2012.” 

The Post aggregation abundant bristles of the better takeaways from the information. Two of those key credibility were that the aggregate of pills skyrocketed over the beforehand of the seven years and that some states and rural areas were added saturated than others. “The volumes of the pills handled by the companies climbed as the catching surged, accretion 51 percent from 8.4 billion in 2006 to 12.6 billion in 2012. By contrast, doses of morphine, a acclaimed assay for astringent pain, averaged hardly added than 500 actor a year during the aforementioned period,” they write, adding: “The states that accustomed the accomplished concentrations of pills per being per year were: West Virginia with 66.5, Kentucky with 63.3, South Carolina with 58, Tennessee with 57.7 and Nevada with 54.7. West Virginia additionally had the accomplished opioid afterlife amount from 2006 through 2012.”

In the communities that were saturated with affliction pills, opioid-related afterlife ante surged, our Post colleagues Sari Horwitz, Steven Rich and Scott Higham address in this analysis. “The civic afterlife amount from opioids was 4.6 deaths per 100,000 residents…But the counties that had the best pills broadcast per being accomplished added than three times that amount on average. Thirteen of those counties had an opioid afterlife amount added than eight times the civic rate, according to the government data. Seven of them were in West Virginia.”

—  And actuality are a few added acceptable reads: 

About 2,000 communities aching by the opioid crisis are suing biologic companies for amazing sums of money to awning the costs of treatment, apprenticeship and law enforcement.

Lenny Bernstein and Christopher Rowland

MEDICAL MISSIVES

A House board accustomed its adaptation of legislation to break the botheration of abruptness medical bills. But the admeasurement includes a key accouterment that’s got beneath abutment in the Senate.

Kaiser Bloom News

The 74-year-old is in affliction but expects to accomplish a abounding recovery, according to a spokeswoman.

Michael Brice-Saddler

Rep. Christopher H. Smith (R-N.J.) believes government scientists experimented with ticks as disease-carrying bioweapons amidst the 1950s and the 1970s. Lyme ache wasn’t apparent until the 1980s.

Morgan Krakow

Sens. Rand Paul and Mike Lee face backfire from Democrats and advocates acquisitive to see the admeasurement passed.

Devlin Barrett

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INDUSTRY RX

CVS is authoritative a move into branch care, ablution a analytic balloon for a home-dialysis device. The aggregation is alive to capitalize on a Trump administering action blame for home procedures.

Wall Street Journal

A House console on Wednesday voted to beforehand legislation aimed at attention U.S. consumers from the billions of actionable robocalls made every year.

The Hill

AGENCY ALERT

A 13-year-old babe from Honduras waited for her ancestor to accompany her in the Affiliated States. But her ancestor was again bedfast at the border. He came too late.

New York Times

U.S. assembly on Wednesday alleged for acute analysis of Puerto Rico’s Medicaid affairs as the broke area seeks added federal healthcare allotment while it deals with repercussions from a government bribery scandal.

Reuters

STATE SCAN

Three bodies accept died back the beginning at Greenspring Village’s assisted-living and skilled-nursing unit, canton admiral said. Nineteen advisers accept additionally become ailing back it began on June 30.

Fredrick Kunkle

REPRODUCTIVE WARS

The abandonment of Planned Parenthood’s president, Leana Wen, underscores a axial tension: Is it a political alignment first, or a bloom organization? And can it be both?

New York Times

A new addition of the movement aims to claiming Roe v. Wade anon with baby bills, seeing achievement in Supreme Cloister change and developments in science. Traditional opponents benign incremental accomplish say a aerial cloister defeat could arrest drive for years.

Wall Street Journal

DAYBOOK

Coming Up

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SUGAR RUSH

Whose 2020 campaigns are adopting the best money?

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