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FUTURE PULSE

The ideas and innovators shaping health care




FUTURE PULSE

The ideas and innovators shaping health care

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ABOUT THE AUTHOR : RUTH READER

Ruth Reader is a reporter at POLITICO covering the intersection of health care
and technology. Before joining POLITICO, she worked at Fast Company, where she
spent six years as a reporter covering tech companies and startups. She has also
worked as a reporter at VentureBeat, Mic.com and the late Baltimore City Paper,
as well as a producer for New York Public Radio, Voice of America in D.C. and
CBS Baltimore. She is now based in New York.


ABOUT THE AUTHOR : DANIEL PAYNE

Daniel Payne is a health care reporter at POLITICO. Before becoming a health
care reporter, he was a fellow at POLITICO.

Before POLITICO, Daniel worked to push The DeSoto Times-Tribune toward a
digital-first approach as the Mississippi newspaper’s executive editor. He
emphasized aggressive accountability reporting on the pandemic and redesigned
the newspaper, newsletters and social media accounts. A graduate of the
University of Mississippi, Oxford, Daniel was editor-in-chief of The Daily
Mississippian, where he also helped overhaul the newspaper’s website and
workflow. Daniel has interned for the Globe Post in Washington, D.C., and worked
as a reporter and panelist for the Lens Collective researching, filming and
editing short films on civil rights activists.


FUTURE PULSE - POLITICO ARCHIVE


 * TUESDAY, 12/24/24


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 * View the Full Future Pulse Archives »


 * MOST READ


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 2. MUSK INFLUENCE SPARKS FRESH TALK IN CONGRESS ON HIGH-SKILLED IMMIGRANTS


 3. THESE MAGA FARMERS COULD BE RUINED IF TRUMP FOLLOWS THROUGH WITH MASS
    DEPORTATIONS


 4. THE 2028 DEMOCRATIC PRIMARY IS ALREADY UNDERWAY. BUT THE FIRST REAL MOVES
    ARE JUST AROUND THE CORNER.


 5. 9 POLITICAL ISSUES THAT BIT THE DUST THIS YEAR




META’S COZY GOP TIES

By RUTH READER and DANIEL PAYNE 

12/24/2024 02:00 PM EST

PROGRAMMING NOTE: We’ll be off starting Wednesday for the holidays but back to
our normal schedule on Monday, Jan. 6, 2025.



FOLLOW THE MONEY

Facebook founder Mark Zuckerberg and his company Meta convinced Congress to
shelve a kids online safety bill. | Kevin Dietsch/Getty Images

If parents thought 2024 would be the year Congress passed legislation to protect
their kids online, they were wrong.

Facebook founder Mark Zuckerberg and his company Meta managed to hold it off,
Ruth reports. Meta, once reviled by Republicans, has restored its relationship
to the party and pushed off legislation that would have significantly changed
its platform. The company deployed key lobbyists, campaign financing and other
assets to convince lawmakers to take a fresh look at the issue next year.

House Speaker Mike Johnson (R-La.) never brought the Kids Online Safety Act,
which had already passed the Senate, to the House floor for a vote, citing First
Amendment concerns.

Despite immense pressure from parents, Congress left Washington without passing
a bill that would have required social media companies to remove product
features doctors say harm kids’ health, such as endless content scrolling and
notifications pulling them back onto the platform.

Erin chatted with Ruth about why the bill stalled and what comes next for kids’
safety:

Why did this kids’ safety bill die and what does Meta have to do with it?

The bill died over concerns that it violates free speech rights. Meta hasn’t
said this publicly, but a large industry lobbying group it belongs to has
repeatedly said the bill violates free speech and has sued states with similar
laws on the books. It is also notable that Meta has disproportionately donated
to House Republicans, where the bill ultimately stalled.

KOSA’s supporters say the bill doesn’t violate free speech and is a product
liability bill.

What are the implications of Zuckerberg’s influence in Congress?

Members of Congress have repeatedly aired frustrations over tech companies
having too much sway in Washington, effectively preventing them from reaching
consensus on how to regulate social platforms.

After holding hearings and listening to Meta whistleblowers and researchers,
they have enough data to make the case that, yes, social platforms are actively
harming youth mental health. But this influence — the money, the concerns over
free speech and the threat of lawsuits — may be keeping lawmakers in limbo.

What are you watching in coming months along this storyline?

The canary in the coal mine for this issue has been lawsuits. Parents of kids
who were harmed by social media, who developed an eating disorder or severe
depression or harmed themselves as a result of their online experiences, have
sued large tech companies. Those suits are ongoing.

Now, we’re starting to see kids self-harm after engaging with AI chatbots. KOSA
doesn’t address that problem and I imagine lawmakers will have to think about
that as they confront the issue next year.



WELCOME TO FUTURE PULSE

Saratoga Springs, N.Y. | Erin Schumaker/POLITICO

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

Disney princesses face hidden health risks, the British Medical Journal’s
light-hearted Christmas edition says. Our favorite: Cinderella’s dust exposure
puts her at risk of developing occupational lung disease, a condition
exacerbated by her fairy godmother’s liberal use of magical glitter.

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

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


You read POLITICO for trusted reporting. Now follow every twist of the lame duck
session with Inside Congress. We track the committee meetings, hallway
conversations, and leadership signals that show where crucial year-end deals are
heading. Subscribe now.


POLICY PUZZLE

An association of health care executives has a list of requests for the incoming
Trump administration. | AP

Health executives have their asks in order for the incoming administration.

In a letter to the co-chairs of President-elect Donald Trump’s transition team,
the Healthcare Leadership Council, an association of executives across health
sectors, laid out its priorities for the coming years.

What they want: The group asked Trump to support policies it says will increase
access to quality care: boosting value-based care models, removing regulatory
barriers to medical research for new treatments and partnering with Medicare
Advantage plans.

The group also asked the incoming administration to tackle tech policies that
could impact the health sector, including expanding support for telehealth,
promoting best practices to improve cybersecurity and taking the lead on
artificial intelligence in health care.

Why it matters: Trump will have significant power early in his administration.
Republicans control the House and Senate, and as incoming president, he’ll have
huge influence on legislative and regulatory outcomes.

How Trump works with the health industry alongside his industry-skeptical HHS
nominee, Robert F. Kennedy Jr., could affect policy that governs insurers,
providers, patients and drug makers.


POLITICO Pro’s unique analysis combines exclusive transition intelligence and
data visualization to help you understand not just what’s changing, but why it
matters for your organization. Explore how POLITICO Pro will make a difference
for you.


WASHINGTON WATCH

A new report says HHS Secretary Xavier Becerra did not properly reappoint a
number of NIH center directors. | Anna Moneymaker/Getty Images

If Robert F. Kennedy Jr. wants to overhaul leadership at the National Institutes
of Health, House leaders charged with overseeing the agency say he’ll be within
his rights, our Chelsea Cirruzzo reports.

How so? In a report from the House Energy and Commerce Committee, current Chair
Cathy McMorris Rodgers (R-Wash.), incoming Chair Brett Guthrie (R-Ky.) and
Oversight and Investigations Subcommittee Chair Morgan Griffith (R-Va.) said
that 14 of 27 NIH center directors were not properly reappointed by HHS
Secretary Xavier Becerra after their terms expired at the end of 2021.

The report concludes that the incoming administration would have legal standing
to dismiss NIH directors, who head divisions in charge of various aspects of
health research and serve five-year terms.

Directors named in the report include Dr. Nora Volkow, director of the National
Institute on Drug Abuse, and Dr. Joshua Gordon, director of the National
Institute of Mental Health.

What’s next: Rodgers is retiring from Congress, but Guthrie is expected to
continue her effort to make changes at the NIH.

Neither HHS nor Democrats with the Energy and Commerce Committee responded to
requests for comment.


FOLLOW US ON TWITTER

 * Carmen Paun @carmenpaun
 * Daniel Payne @_daniel_payne
 * Ruth Reader @RuthReader
 * Erin Schumaker @erinlschumaker


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