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FUTURE PULSE

The ideas and innovators shaping health care

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ABOUT THE AUTHOR : ERIN SCHUMAKER

Erin Schumaker is a reporter at POLITICO.


ABOUT THE AUTHOR : BEN LEONARD

Ben Leonard is a health technology reporter at POLITICO, covering digital health
action from D.C. at agencies, in Congress and in the White House, as well as the
industry at large.

He’s also a co-author of POLITICO’s Future Pulse newsletter. Reach him at
bleonard@politico.com.

He previously covered breaking news for POLITICO as an intern and has reported
for NBC News, the Baltimore Sun and the Tampa Bay Times.

He loves to cycle in his free time and as a Bay Area native, is a loyal San
Francisco Giants fan.

He’s a graduate of Duke University, where he studied public policy and
journalism.


ABOUT THE AUTHOR : EVAN PENG

Evan Peng is an editorial intern at POLITICO.


FUTURE PULSE - POLITICO ARCHIVE


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 * MOST READ


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    TRYING TO FEND OFF JAIL


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SEN. MURPHY WANTS TO HELP YOU MAKE FRIENDS

By ERIN SCHUMAKER, BEN LEONARD and EVAN PENG 

07/18/2023 02:00 PM EDT


POLICY PUZZLE

Murphy is concerned about our bleak social lives. | Getty Images

Sen. Chris Murphy (D-Conn.) is ready to tackle what he calls one of the most
important political issues of our time — loneliness.

“Loneliness drives bad health outcomes, but I also think it drives political
instability. I think it’s a mistake for government to ignore this epidemic,”
Murphy told Erin.

Last month during remarks on the Senate floor, Murphy laid out a case for
addressing the nation’s social connection crisis as a policy issue. We just need
a starting point, he told Congress.

That start came Tuesday, when Murphy announced new legislation, the National
Strategy for Social Connection Act, targeting loneliness and isolation.

The bill would:

— Establish an office of social connection policy within the White House to
advise the president on how loneliness and isolation affect the economy, public
health, national security, the environment and community engagement.

— Form an advisory council bringing together stakeholders and federal agencies
to improve social infrastructure, quality of life and civic spirit.

— Develop a government-wide strategy promoting connection, working across the
transportation, housing, health, education and labor agencies.

— Launch a public education campaign, including national guidelines and
research-backed best practices to help people engage and connect with their
communities, similar to existing guidelines on nutrition, sleep and physical
activity.

— Provide $5 million in annual Centers for Disease Control and Prevention
funding to research social connection, loneliness and social infrastructure
through 2029.

Murphy has good company in Surgeon General Vivek Murthy, who issued a May report
on the loneliness epidemic, including a six-pillar strategy for advancing social
connection.

“The conversation he helped begin is really important, and I want to make sure
it endures. By creating this office of social connection policy, we’re
guaranteeing that work Dr. Murthy has done becomes a permanent part of our
government’s focus,” Murphy said.

Why it matters: Loneliness is a pervasive problem, with 1 in 3 people in the
U.S. who are 45 years old and older feeling lonely, according to the CDC.

Being socially disconnected is associated with a higher risk for health
problems, including cardiovascular disease, dementia, stroke, depression,
anxiety and suicide, according to the surgeon general report.

“Loneliness is far more than just a bad feeling — it harms both individual and
societal health,” Murthy wrote in the report.

What’s next? Since loneliness doesn’t naturally sort people into political
camps, Murphy says he’s hopeful that he’ll be able to draw bipartisan support
for his bill.

He pointed to a bipartisan measure to regulate kids’ access to social media,
which is tied to youth loneliness, that he put forth this spring with Sens.
Brian Schatz (D-Hawaii), Tom Cotton (R-Ark.), and Katie Britt (R-Ala.) as a
promising example of such partnerships.

“I think you’ll see some really interesting collaborations between right and
left over the course of the next year to attack this problem of aloneness,” he
said.


HITTING YOUR INBOX AUGUST 14—CALIFORNIA CLIMATE: Climate change isn’t just about
the weather. It’s also about how we do business and create new policies,
especially in California. So we have something cool for you: A brand-new
California Climate newsletter. It’s not just climate or science chat, it’s your
daily cheat sheet to understanding how the legislative landscape around climate
change is shaking up industries across the Golden State. Cut through the jargon
and get the latest developments in California as lawmakers and industry leaders
adapt to the changing climate. Subscribe now to California Climate to keep up
with the changes.


WELCOME TO FUTURE PULSE

Marseille, France | Evan Peng

This is where we explore the ideas and innovators shaping health care.

The latest collaboration in health care AI: virtual care provider Teladoc is
teaming up with Microsoft, integrating Microsoft’s artificial intelligence into
its telehealth platform with the aim of automating documentation.

Share any thoughts, news, tips and feedback with Ben Leonard at
bleonard@politico.com, Ruth Reader at rreader@politico.com, Carmen Paun at
cpaun@politico.com or Erin Schumaker at eschumaker@politico.com.

Send tips securely through SecureDrop, Signal, Telegram or WhatsApp.

Today on our Pulse Check podcast, Evan talks with Ben, who breaks down the
Centers for Medicare and Medicaid Services’ proposed changes to Medicare’s
physician fees, which the agency says would lower costs and support behavioral
health — and the ensuing praise and criticism the plan has garnered.



CHECKUP

Demand for bariatric surgery has spiked in some cities. | M. Scott
Mahaskey/POLITICO

Weight-loss drugs are hot. So, it turns out, is weight-loss surgery.

A Trilliant Health analysis of national claims data found that the volume of
bariatric surgeries performed bounced back from a pandemic dip, particularly in
certain geographic areas.

Between 2017 and 2022, growth in such surgeries far outpaced obesity diagnoses
in some cities and their surrounding metro areas:

— Boston: surgeries rose by 34.6 percent; obesity diagnoses rose by 2.9 percent

— Philadelphia: surgeries, 33.6 percent; diagnoses, 0.2 percent

— Miami: surgeries, 31.4 percent; diagnoses, 9.5 percent

— Los Angeles: surgeries, 18.2 percent; diagnoses, 6.5 percent

— Washington, D.C.: surgeries, 15.1 percent; diagnoses, 6.2 percent

Why it matters: The researchers said it’s still unclear whether drugs will
replace bariatric surgeries as the “gold standard” for weight loss.

“With healthcare spending approaching 20 percent of U.S. GDP, the increasing
demand for expensive weight loss drugs and weight loss surgical procedures will
profoundly impact national healthcare expenditures,” the researchers wrote.
“Tracking the impact of weight loss drugs on bariatric surgery over time is
crucial.”

The trend wasn’t uniform, though.

Houston saw obesity-diagnosis and bariatric-surgery growth essentially in line
with each other, and Atlanta and New York City saw obesity growth outpace
surgery growth.


YOUR TICKET INSIDE THE GOLDEN STATE POLITICAL ARENA: California Playbook
delivers the latest intel, buzzy scoops and exclusive coverage from Sacramento
and Los Angeles to Silicon Valley and across the state. Don’t miss out on the
daily must-read for political aficionados and professionals with an outsized
interest in California politics, policy and power. Subscribe today.


DANGER ZONE

The "faces of fentanyl" wall at the Drug Enforcement Administration memorializes
those who've died. | AFP via Getty Images

1 in 22

The number of deaths in 2021 tied to opioids

The number of people dying from drug overdoses in the United States was nearly
the same between February 2022 and February 2023, as it was during the same
period in 2021, provisional data from the CDC shows.

But the flattening of the curve is cold comfort, given the size of the toll,
which remains near record levels.

New research in JAMA Network Open helped quantify the carnage, finding that
fatal opioid overdoses claimed close to 3 million years of life and caused 1 in
22 U.S. deaths in 2021.

One in 10 deaths in 15- to 19-year-olds and 1 in 5 of those between ages 20 and
39 in 2021 were tied to opioids.

Men were disproportionately impacted, making up 70 percent of the 422,000 deaths
studied between 2011 and 2021, during which such deaths close to quadrupled.

What’s being done? The landmark SUPPORT Act, a five-year-old, bipartisan effort
to combat the crisis, is due for reauthorization this year.

But lawmakers are battling over a significant issue: whether to allow states to
use Medicaid dollars to fund addiction treatment in large mental health
institutions.


FOLLOW US ON TWITTER

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 * Ruth Reader @RuthReader
 * Carmen Paun @carmenpaun
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 * Evan Peng @thepngfile


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 * DEVELOP AND IMPROVE PRODUCTS
   
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   Your data can be used to improve existing systems and software, and to
   develop new products
   
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 * CREATE A PERSONALISED ADS PROFILE
   
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   A profile can be built about you and your interests to show you personalised
   ads that are relevant to you.
   
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