Health
5 Things: Public Opinion Behind Government on Health Care
EMILY SWANSON, Associated Press
WASHINGTON (AP) — Most Americans wanted the Supreme Court to side with the government on whether the federal government could continue subsidizing insurance premiums in all 50 states under President Barack Obama’s health care law, according to polls conducted before the justices’ ruling Thursday.
In a ruling that preserved health insurance for millions of people, the court upheld the nationwide tax subsidies.
Polling ahead of the decision showed that few people had much confidence that the court could rule objectively in King v. Burwell.
Five things to know about public opinion on the Supreme Court’s decision on the health care law:
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MOST WANT LAW UPHELD
Fifty-six percent of those questioned wanted the court to rule in favor of the Obama administration, according to an April Associated Press-GfK poll.
Thirty-nine percent preferred a ruling for those who brought the case. The plaintiffs had argued that actual wording of the law should have limited the government to subsidizing premiums in states that had set up their own health insurance exchanges, rather than relying on the federal government exchange.
Nearly three-quarters of Democrats and a slim majority of independents wanted the court to rule in favor of the government; a majority of Republicans wanted the court to limit insurance subsidies under the law to states with their own exchanges.
Among people who opposed the health care law generally, 58 percent wanted the court to limit the government to subsidizing premiums only in states with exchanges. But a significant minority of the law’s opponents (39 percent) thought the court should have ruled that the government could continue to subsidize premiums in all states.
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LITTLE CONFIDENCE IN COURT’S OBJECTIVITY
Nearly half of Americans were not too confident or not confident at all that the Supreme Court could rule objectively in the case, according to the April AP-GfK poll. Just 1 in 10 were very or extremely confident, while another 4 in 10 were moderately confident.
Six in 10 opponents of the law, compared with 44 percent of the law’s supporters, were not confident in the court’s ability to rule objectively.
A CBS News-New York Times poll released Monday found that three-quarters of Americans thought the justices sometimes let their personal or political views influence their decisions rather than deciding solely based on legal analysis.
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FEW CLOSELY FOLLOWING CASE
In the April AP-GfK poll, just 13 percent of Americans said they were following news about the health care case extremely or very closely, while 60 percent said they were not following the case closely.
Likewise, a Kaiser Family Foundation poll conducted in June found that 44 percent of Americans had heard nothing at all about the case, and 28 percent had heard only a little.
That’s true even though the vast majority of Americans, 78 percent, called health care a very or extremely important issue in the AP-GfK poll.
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MOST WOULD HAVE WANT CONGRESS ACTION
If the court had ruled against the government, 51 percent of Americans in the April AP-GfK poll said they would have liked Congress to update the law to allow the federal government to subsidize premiums in all states. The poll found 44 percent would have preferred that Congress leave the law as is, letting states decide if they wanted to create exchanges that would allow people to receive subsidized premiums.
The Kaiser Family Foundation poll conducted in June also found most said Congress should pass a law if necessary so that people in all 50 states could be eligible for financial help. And 55 percent of Americans living in states without their own exchanges said they would have wanted their state to create one if necessary.
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CONTINUED DIVIDE OVER HEALTH LAW
In general, the April AP-GfK poll found that 27 percent of Americans support and 38 percent opposed the 2010 health care law, while 34 percent were neither in favor nor opposed.
But there was a significant partisan divide over the law, with 52 percent of Democrats supporting the law, but only 11 percent of independents and just 5 percent of Republicans saying the same.
The poll found 44 percent of Americans approved and 55 percent disapproved of the way Obama has handled health care. But more Americans trusted the Democratic Party than the Republican Party on handling the issue, 34 percent to 24 percent.
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The AP-GfK Poll of 1,077 adults was conducted online April 23-27, using a sample drawn from GfK’s probability-based KnowledgePanel, which is designed to be representative of the U.S. population. The margin of sampling error for all respondents is plus or minus 3.4 percentage points.
Respondents were first selected randomly using phone or mail survey methods, and later interviewed online. People selected for KnowledgePanel who didn’t otherwise have access to the Internet were provided access at no cost to them.
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Online:
AP-GfK Poll: http://www.ap-gfkpoll.com
Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
Business
Banning Menthol Cigarettes: California-Based Advocacy Group Joins Suit Against Federal Govt.
A California based non-governmental organization, The African American Tobacco Control Leadership Council (AATCLC), has joined two other public health advocacy groups in a second lawsuit against the U.S. Food and Drug Administration (FDA) for the agency’s inaction on issuing a final rule banning menthol cigarettes.
By Edward Henderson, California Black Media
A California based non-governmental organization, The African American Tobacco Control Leadership Council (AATCLC), has joined two other public health advocacy groups in a second lawsuit against the U.S. Food and Drug Administration (FDA) for the agency’s inaction on issuing a final rule banning menthol cigarettes.
The suit, filed by Christopher Leung of Leung Law, PLLC on behalf of the AATCLC, Action on Smoking and Health (ASH) and the National Medical Association (NMA) comes more than seven months after the FDA’s established date for finalizing a new rule against menthol cigarettes.
“We are a group of Californians, although we have expanded now. We were formed in 2008 to inform and direct the activities of commercial tobacco control and prevention as they affect African Americans and African immigrants in this country,” said Carol McGruder, co-chair of the AATCLC.
McGruder was speaking during a press briefing April 2 organized to announce the lawsuit. with representatives from the ASH, NMA and other organizations.
“Menthol cigarettes have had a devastating and disproportionate impact on the health of Black Americans,” said Yolanda Lawson, President of the NMA. “Smoking related diseases are the number one cause of death in the Black community.”
The lawsuit also follows the FDA’s 15-year delay in creating national policy that would ban cigarettes made with compound menthol, a minty substance that cigarette makers infuse into their tobacco products, making them more addictive and harmful.
Despite significant reductions in overall smoking rates in the US, smoking among poor, less educated and marginalized groups remains high. Every year, 45,000 Black Americans prematurely die from tobacco-caused diseases. An estimated 85% of them smoked menthol cigarettes.
“This disproportionate use of menthol cigarettes among Black Americans is not a coincidence,” Dr. Yerger continued. “I was one of the first tobacco documents researchers out of UCSF who exposed the tobacco industry’s systematic, predatory marketing schemes to dump highly concentrated menthol cigarette marketing into urban inner-city areas.”
In 2011, the FDA’s own scientific advisory committee concluded that the “Removal of menthol cigarettes from the marketplace would benefit public health in the United States.”
If the sale of menthol-flavored cigarettes is indeed banned, the FDA projects a 15.1% drop in smoking within 40 years, which would help save between 324,000 to 654,000 lives.
As a result of the Plaintiffs’ first lawsuit, the FDA made the landmark determination to add menthol to the list of banned characterizing flavors in cigarettes.
On the contrary, tobacco-aligned groups in the past have argued that banning menthol cigarettes would be impact federal and state budgets with the loss of nearly $6.6 billion in cigarette sales taxes. Menthol cigarettes account for over one-third of the U.S. cigarette market.
Other arguments from tobacco-backed groups include unintended consequences of a ban such as increased policing in Black and Brown communities due to contraband cigarettes. However, health advocates have dismissed this claim stating the ban would apply to companies that make or sell menthol cigarettes, not individual smokers.
By law, the United States has two months to respond to the lawsuit. The feds can respond to it or file a motion to dismiss.
If the suit is successful, the FDA would have 90 days to make a final ruling.
California Black Media
Commentary: Support Early Detection Technology to Save the Lives of Black Cancer Patients
In 2008, I received news no one ever wants to hear. I was diagnosed with Stage I breast cancer, with an ER/PR positive tumor type. The road to recovery was tough, taking more than a physical toll on my body. I grappled with the emotional and mental strain of navigating a health care system that too often fails to address the unique needs of Black women. There was no manual to guide me through this journey, no prescription to ease the burden, and no roadmap to help me navigate the challenges ahead.
By Rhonda Smith, Special to California Black Media Partners
In 2008, I received news no one ever wants to hear. I was diagnosed with Stage I breast cancer, with an ER/PR positive tumor type.
The road to recovery was tough, taking more than a physical toll on my body. I grappled with the emotional and mental strain of navigating a health care system that too often fails to address the unique needs of Black women. There was no manual to guide me through this journey, no prescription to ease the burden, and no roadmap to help me navigate the challenges ahead.
The stark reality that Black women are 41% more likely to die from breast cancer than White women is a grim reminder of the systemic inequities that pervade our health care system. According to the American Cancer Society, Black Americans have the highest death rate and shortest survival rate of any racial or ethnic group in the country. This disparity extends beyond breast cancer, impacting colorectal, prostate, and lung cancers, among others.
To help overcome these inequities, we need to attack cancer at its roots; we must catch it early, and we must ensure the means to catch cancer early are accessible to the communities most at risk. I consider myself fortunate to have received a Stage 1 diagnosis. Yet, it pains me to know that for many others, their breast cancer is often detected in later, more advanced stages.
Fortunately, there is hope on the horizon. Some California congressmembers — particularly U.S. Rep. Raul Ruiz (D-CA-25) — are taking decisive action. Ruiz is a lead sponsor of a bill to dramatically expand access to cutting-edge early detection tools for Medicare beneficiaries, including millions of Black Americans in underserved communities. With bipartisan support, this bill is closer than ever to passage.
Named in honor of Nancy Gardner Sewell, a civil rights leader and passionate advocate for health justice, the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act would ensure Medicare has the latitude it needs to cover an exciting new class of cancer detection tests as soon as they’re cleared by the FDA.
These tests utilize the latest scientific achievements to identify cancer signals in a patient’s blood stream. They can pinpoint many different types of cancer from a single blood draw, dramatically improving doctors’ ability to detect cancers early and at stages where they are most treatable.
The next phase of our fight against cancer – and the disproportionate toll it takes on Black Americans – starts by urging Congress to pass the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act and ensuring the benefits of this legislation reach all corners of our communities.
I don’t advocate for change for myself, but for every Black woman who has faced, or will face, a similar battle.
Together, we can rewrite the narrative of health care, catch and treat cancer early, and ensure that every woman has the opportunity to thrive, regardless of her race or background.
About the Author
Rhonda Smith, Executive Director of the California Black Health Network, leads initiatives to advance health equity for Black Californians, leveraging her expertise from roles including consulting and spearheading health disparities initiatives for BIPOC communities. With an MBA from the University of Virginia’s Darden School of Business and a B.S. in Civil Engineering from Virginia Tech, Rhonda has led transformative projects like the LiveHealthy OC Initiative and the Susan G. Komen® Circle of Promise California Initiative to address health disparities and promote whole person care approaches.
Bay Area
California Makes Strides in Fight Against Fentanyl
California National Guard’s Counterdrug Task Force has seized over 7,000 pounds of fentanyl including 3.4 million pills since the state launched a multi-agency operation in January 2024. Gov. Gavin Newsom announced the state’s progress on May 7, National Fentanyl Awareness Day. The Governor said he deployed the state’s highway patrol and National Guard personnel last year as part of a public safety operation in partnership with local government officials and law enforcement.
By California Black Media
California National Guard’s Counterdrug Task Force has seized over 7,000 pounds of fentanyl including 3.4 million pills since the state launched a multi-agency operation in January 2024.
Gov. Gavin Newsom announced the state’s progress on May 7, National Fentanyl Awareness Day.
The Governor said he deployed the state’s highway patrol and National Guard personnel last year as part of a public safety operation in partnership with local government officials and law enforcement.
“As we recognize the serious dangers of illegal fentanyl, California is continuing to tackle this issue head-on. Our efforts are getting this poison off our streets and out of our communities as we continue to support people struggling with substance use.” Newsom said.
CalGuard Major General Matthew Beevers said that the state’s unprecedented investment in the Counterdrug Task Force has immobilized operations and revenue channels of transnational criminal organizations.
“The CalGuard is committed to supporting our state, federal, local and tribal law enforcement partners to eliminate the scourge of fentanyl,” Beevers said.
In the past five years, California has invested $1.1 billion in operations and initiatives to fight crime, support local law enforcement, and improve public safety. The Newsom administration has implemented a comprehensive approach as part of the governor’s Master Plan to tackle the fentanyl and opioid crisis.
The Newsom administration has expanded efforts to improve public safety across the state where operations occurred in cities such as San Francisco, Oakland, and Bakersfield.
San Francisco Mayor London Breed acknowledged that joint operation was a step in the right direction toward curbing illegal activity and improving public safety.
“Our coordinated work to shut down drug markets in San Francisco is making a difference, but we have more work to do,” Breed said.
“Together we are sending a message at all levels of government that anyone selling fentanyl in this city will be arrested and prosecuted,” she said.
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