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Sen. Murphy wants to help you make friends

The ideas and innovators shaping health care
Jul 18, 2023 View in browser
 
Future Pulse

By Erin Schumaker, Ben Leonard and Evan Peng

POLICY PUZZLE

WASHINGTON, DC - JUNE 7: Sen. Chris Murphy (D-CT) speaks to reporters about ongoing negotiations about gun violence legislation, during a news conference after a closed-door meeting with Senate Democrats at the U.S. Capitol on June 7, 2022 in Washington, DC. Senate Majority Leader Chuck Schumer told reporters he would give negotiators until the end of the week to reach a framework on the   legislation. (Photo by Drew Angerer/Getty Images)

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.

 

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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.

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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.

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CHECKUP

Bariatric Surgeon Dr. George Woodman, MD, FACS, performs a gastric sleeve surgery, also known as the sleeve gastrectomy on Feb. 27. The procedure dramatically reduces the size of the patient’s stomach as an aide to weight loss.

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.

 

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DANGER ZONE

A photo of Makayla Cox, who died of a fentanyl overdose at age 16, is displayed among other portraits on "The Faces of Fentanyl" wall, which displays photos of Americans who died from a fentanyl overdose, at the Drug Enforcement Administration (DEA) headquarters in Arlington, Virginia, on July 13, 2022. - America's opioid crisis has reached catastrophic proportions, with over 80,000 people dying of opioid   overdoses last year, most of them due to illicit synthetics such as fentanyl -- more than seven times the number a decade ago. "This is the most dangerous epidemic that weve seen," said Ray Donovan, chief of operations at the US Drug Enforcement Agency (DEA). "Fentanyl is not like any other illicit narcotic, its that deadly instantaneously." (Photo by Agnes BUN / AFP) (Photo by AGNES BUN/AFP via Getty Images)

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.

 

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