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POLITICO New York Health Care: Bassett brown bags it; big change at City Hall

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written by Dan Goldberg

BASSETT’S PRESENTATION — Last week, New York City health commissioner gathered her staff in their Long Island City headquarters. It was part of a regular brown-bag series Bassett offers for the staff. Usually, she brings in speakers, but last Monday she decided to give the talk herself, and explain how racial inequality fits into her vision of public health. Health disparities aren't only the result of income inequality, she said. Understanding population health requires an understanding of how historical racism has impacted those populations. Read my story here:

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NEWS DUMP — Mayor Bill de Blasio's deputy mayor for health and human services, Lilliam Barrios-Paoli, will leave the administration at the end of September to chair the board of the city's Health and Hospitals Corporation, the mayor's office said in a statement late Monday.

Barrios-Paoli, who served as commissioner for the Department of the Aging under former mayor Michael Bloomberg and as commissioner of the Human Resources Administration under former mayor Rudy Giuliani, is one of the highest-ranking officials in the de Blasio administration to leave her position. Barrios-Paoli oversees the administration's efforts to curb rising numbers of homeless individuals, a problem that has dogged de Blasio's mayoralty since its beginning.

...Gordon Campbell had been serving as acting chair of the HHC board. He will return to the position of vice chair.

...This isn’t the first time Barrios Paoli has left City Hall for a position at HHC. During the Giuliani administration, she broke ranks by telling reporters that the city had removed the staff of a city shelter for battered women for political reasons. She was removed from her position and named executive director of Lincoln Medical and Mental Health Center in the Bronx.

NOW WE KNOW — Sorry to disappoint but there’s no good way to avoid a hangover, according to research presented at the ECNP conference in Amsterdam. Unless of course you drink less. Sure, people say they don’t get hangovers but that’s not because they are immune. The researchers looked at the Blood Alcohol Concentration in Canadians who experienced hangovers and those who didn't. Nearly 80 percent of those who claimed not to experience hangovers had an estimated blood alcohol level of less than 0.10, meaning they just weren’t drinking that much. “In general, we found a pretty straight relationship; the more you drink, the more likely you are to get a hangover,” lead author Joris Verster said in a press release accompanying the article. “From what we know from the surveys so far, the only practical way to avoid a hangover is to drink less alcohol.”

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HAPPY MEAL STUDY — Researchers from NYU Langone Medical Center studied the public health impacts of a New York City bill that would limit to 500 calories all fast food meals marketed to children. The bill also prohibits the meals from having 35 percent of calories coming from fat, 10 percent coming from saturated fat, 10 percent from added sugars, and requires they have fewer than 600 milligrams of sodium. The researchers found that 98 percent of the meals they looked at did not meet the bill’s proposed guidelines, according to the paper published in the American Journal of Preventive Medicine. The researchers explain that if the bill were enacted it would lead to a 9 percent drop in calories—representing 54 fewer calories—a 10 percent drop in sodium, and a 10 percent drop in percentage of calories from fat.

GRANT LAND — New York State has received a five-year, $3.75 million grant from the Centers for Disease Control and Prevention to help treat and prevent stroke. The money will be used to expand New York's Coverdell program, which was created in 2012, to improve in-hospital care for acute stroke, according to a press release from the governor's office. The money will also be used to address gaps between the transition from ambulance to hospital, and then from hospital to home, the release said.

VACCINE EXEMPTION — A Russian Orthodox woman will be allowed to exempt her autistic son from receiving the school-mandated measles/mumps/rubella vaccination because of her moral opposition to abortion, according to The New York Post. “The woman said she objected on religious grounds because of the MMR vaccine’s link to the cells of aborted fetuses.”


-ACROSS THE RIVER — New Jersey should refund the federal government $32.2 million in Medicaid reimbursements because state officials failed provide proper medical records, U.S. Department of Health and Human Services said in an audit released on Monday. The audit was conducted because the federal government previously had found similar issues and called for a $145 million reimbursement. Here’s the full report:

-ANALYSIS — The New York Times explains the problem with the Republican plan to sell health insurance across state lines. Insurers may not want to. Government regulation isn’t the only thing stopping them. “Selling insurance in a new region or state takes more than just getting a license and including all the locally required benefits. It also involves setting up favorable contracts with doctors and hospitals so that customers will be able to get access to health care. Establishing those networks of health care providers can be hard for new market entrants.”

-TRAINING MIDWIVES IN MEXICO — The New York Times reports on efforts to train midwives in Chaipas, the southernmost state in Mexico, which has one of the highest maternal mortality rates in the country. “The story in Chiapas is much like that in other impoverished regions around the world. Wherever maternal deaths are high, the main reason is the same: not enough doctors, nurses and medically trained and equipped midwives to help deliver babies.”

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TODAY'S TIP — Comes from the Cleveland Clinic: “Dude, don't let itchy scalp drive you crazy. Nix the itch with these 5 flake fighting fixes.”


-HOW WE CHOOSE — A study in the National Bureau of Economic Research finds “that a hospital's ownership of an admitting physician’s practice dramatically increases the probability that the physician's patients will choose the owning hospital. [It] also finds that patients are more likely to choose a high-cost, low-quality hospital when their admitting physician’s practice is owned by that hospital.”

-DON’T DIVERT — Kaiser Health News reports: “Heart-attack patients whose ambulances were diverted from crowded emergency rooms to hospitals farther away were more likely to be dead a year later than patients who weren’t diverted, according to a recent study published in the journal Health Affairs.”

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