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Tiller Murder Unlikely To Stall Abortion Debate In Kansas
Antiabortion-rights legislators in Kansas plan to push for harsher restrictions on abortion when the next legislative session begins in January 2010, despite increased tensions following the murder of abortion provider George Tiller, the AP/Indianapolis Star reports.According to state House Judiciary Committee Chair Lance Kinzer (R), the debate over abortion rights should continue in the state because some laws aimed at restricting abortion access are not being enforced properly. This year, Kinzer pushed legislation (S.B. 218) to strengthen the state"s restrictions on abortions performed later in pregnancy, but the bill was vetoed by former Gov. Kathleen Sebelius (D). Gov. Mark Parkinson (D) has said his views are "very similar" to those of Sebelius on abortion rights. On Monday, he called on advocates on both sides of the issue to tone down their rhetoric. Parkinson also has said that Kansas should aim to reduce unplanned pregnancies.State Rep. Tom Sawyer (D), who supports abortion rights, said he would like to see legislators take one year off of debating the issue, adding that he thinks this is unlikely. He said, "It"d be nice to have one session where we didn"t have to debate it," adding, "People who are adamant, who keep bringing up these issues, are going to keep bringing them up. I don"t think [Tiller"s murder] is going to slow them down."However, state House Speaker Mike O"Neal (R) said tensions over abortion rights "will calm down a great deal" in the coming months. He added, "All those issues are still there. As long as the parties on both sides behave themselves and not let the rhetoric get out [of] hand, I think we can stay focused on the issues." State Sen. Tim Huelskamp (R) said that abortion-rights opponents likely will focus in the short term on the Board of Healing Arts, which licenses and regulates physicians, and the courts. A criminal case against a Planned Parenthood clinic in Johnson County, Kan., is pending (Hanna, AP/Indianapolis Star, 6/5).
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Expert Consensus On Catheter Ablation Of Ventricular Arrhythmias
A call to action for more research to be undertaken into catheter ablation in the field of ventricular arrhythmia (VA) has been issued in a joint consensus document from the European Heart Rhythm Association (EHRA) a registered branch of the European Society of Cardiology (ESC) and the US Heart Rhythm Society (HRS). The consensus document - launched at Heart Rhythm 2009, the Heart Rhythm Society"s 30th Annual Scientific Sessions, being held 13 to 16 May in Boston - provides an up to date review of indications, techniques and outcomes of catheter ablation for treatment of ventricular arrhythmias, a technique now being offered to increasing numbers of patients.
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Pledges To Reduce Health Care Costs, Spending Growth Could Violate Antitrust Laws, Lawyers Say
U.S. antitrust laws could affect health care industry groups" efforts to work together to rein in health care costs, the New York Times reports (Pear, New York Times, 5/27). In a letter sent to President Obama on May 10, a coalition of groups -- the American Medical Association, the American Hospital Association, Pharmaceutical Research and Manufacturers of America, the Advanced Medical Technology Association, America"s Health Insurance Plans and the Service Employees International Union -- pledged to reduce the annual health care spending growth rate by 1.5%. The groups did not elaborate on what specific measures they would use to achieve such reductions, but the Obama administration has requested specific plans from the groups by June 1 (Kaiser Daily Health Policy Report, 5/26). According to the Times, many of the plans being considered by the health care industry would require greater cooperation across health care providers. Robert Leibenluft, a former Federal Trade Commission official, said, "Any agreement among competitors with regard to prices or price increases -- even if they set a maximum -- would raise legal concerns." In addition, while Obama is asking for specific plans from the health care industry, the administration has not offered any relief from antitrust laws, the Times reports. Furthermore, during his campaign Obama pledged to increase enforcement of antitrust laws, according to the Times.Antitrust laws have had a negative effect on previous health reform efforts, the Times reports. In 1993, the drug industry established a voluntary cost control plan that limited each drug company"s annual increase in the average price of prescription drugs to the increase in the Consumer Price Index, but the Department of Justice ruled that the proposal would violate antitrust laws. DOJ officials said that the U.S. Supreme Court made it clear that setting price maximums was akin to setting price minimums, which is illegal. In a letter to the Senate Finance Committee, AHA wrote that uncertainty regarding the enforcement of antitrust laws "makes it difficult for a hospital and doctors to collaborate to improve care" and reduce costs. AMA has asked Congress to amend antitrust laws to allow physicians to collectively negotiate with insurers over fees and other concerns, but FTC repeatedly has designated the practice illegal price-fixing, according to the Times. FTC officials said that consumers could benefit from cooperation among health care industry groups but that cooperation also could lead to increased bargaining power for physicians and hospitals, making it easier for them to set prices and eliminate competition (New York Times, 5/27). Reform Developments
Sexual Health

Home-Loving Rats: Finding Significant For Tracking Spread Of Rodent-Borne Diseases

In the rat race of life, one thing is certain: there"s no place like home. Now, a study published this week in the journal Molecular Ecology finds the same is as true for rats as for humans. Although inner city rodents appear to roam freely, most form distinct neighborhoods where they spend the majority of their lives. Like any major city, Baltimore, Md., has many lively neighborhoods - each with its own personality. But scientists from the Johns Hopkins University Bloomberg School of Public Health say humans aren"t the only Baltimoreans loyal to their "hoods. Rats typically stay close to home, rarely venturing more than a city block away. In the face of danger, however, some rodents can travel as far as seven miles to repopulate abandoned areas. An understanding of how rats in urban areas are connected provides information about which populations may spread disease, according to Sam Scheiner, program director in the National Science Foundation (NSF)"s Division of Environmental Biology, which funded the research through the joint NSF-National Institutes of Health Ecology of Infectious Diseases program. Baltimore"s port was a once major delivery point for grain, likely how Norway rats were first introduced to the city. Norway rats, also called wharf rats, sewer rats or brown rats, can weigh nearly two pounds and transmit a variety of diseases to humans. Despite expensive eradication efforts, the number of rats in Baltimore has remained unchanged over the past 50 years, says scientist Greg Glass of Johns Hopkins, who co-authored the Molecular Ecology paper with other researchers from Johns Hopkins and the Yale University School of Medicine. To understand why, researchers trapped nearly 300 rats from 11 residential areas of Baltimore and conducted genetic studies to see how the rats were related. The scientists found that East Baltimore rats are separated from their unrelated West-side counterparts by a large waterway known as Jones Falls. Within these hemispheres, rat families form smaller communities of about 11 city blocks. Each community is further divided into neighborhoods that span little more than the length of an average alley. To a city rat, that alley is home sweet home. The findings suggest that while rats rarely migrate, neighborhood eradication efforts may backfire by encouraging the rodents to repopulate other areas and further spread disease. When you smell a rat, the researchers say, the best solution may be to tackle the problem on a much larger scale--perhaps by targeting entire families at once. Rat race won. Cheryl Dybas National Science Foundation


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