A psychiatrist accused of negligence in Maradona's death does not regret the treatment provided
BUENOS AIRES, Argentina — Psychiatrist Agustina Cosachov, one of the seven healthcare professionals on trial accused of negligence in the death of soccer great Diego Maradona testified on Thursday that she does not regret the treatment she provided to the former national team captain and blamed the private medical company for the deficiencies in his home care.
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Forbes
13 minutes ago
- Forbes
AMA: Doctors And Patients Hurt By ‘Big Beautiful Bill'
The American Medical Association says legislation wending its way through the Republican-controlled ... More Congress would 'take us backward' as a country by cutting health benefits for poor and low-income Americans, the group's president said Friday, June 6. In this photo, the US Capitol in Washington, DC, US, on Tuesday, June 3, 2025. Photographer: Eric Lee/Bloomberg The American Medical Association says legislation wending its way through the Republican-controlled Congress would 'take us backward' as a country by cutting health benefits for poor and low-income Americans. Meeting for its annual policy-making House of Delegates this weekend in Chicago, the AMA is rallying physicians to thwart the legislation now before the U.S. Senate. Legislation known as the 'One Big Beautiful Bill Act' that narrowly passed the Republican-controlled U.S. House of Representatives two weeks ago 'would reduce federal Medicaid spending by $793 billion and that the Medicaid provisions would increase the number of uninsured people by 7.8 million,' a KFF analysis shows. 'We have to turn our anger into action,' AMA President Bruce A. Scott, M.D. said in a speech to AMA delegates Friday. 'I know our patience is being tested by this new administration and Congress.' The AMA said it has launched a 'grassroots campaign targeted at the Senate' in hopes of making changes to the legislation. The AMA is the nation's largest physician group with more than 200,000 members. 'The same House bill that brings us closer to finally tying future Medicare payments to the rising costs of running a practice, also takes us backwards by limiting access to care for millions of lower-income Americans,' Scott said. 'Medicare, Medicaid, and the Affordable Care Act are literal lifelines for children and families for whom subsidized health coverage is their only real option. We must do all we can to protect this safety net and continue to educate lawmakers on how best to target waste and fraud in the system without making it tougher for vulnerable populations to access care.' Scott, an otolaryngologist from Kentucky, said the Medicare physician payment system is broken and Congress hasn't addressed – as an increasing number of states have – prior authorization, the process of health insurers reviewing hospital admissions and medications. Prior authorization delays needed treatment and puts patient health in jeopardy, doctors say. 'I'm angry because the dysfunction in health care today goes hand in hand with years of dysfunction in Congress,' Scott added. 'I'm angry because physicians are bearing the brunt of a failed Medicare payment system. And while our pay has been cut by more than 33 percent in 25 years, we see hospitals and even health insurance companies receiving annual pay increases.' Meanwhile, the AMA says cuts to physician payments are pushing more physicians away from private practice and exacerbating the nation's doctor shortage. A recent analysis by AMN Healthcare shows only two in five physicians are now in doctor-owned private practices. And Americans in most U.S. cities face waits of at least one month before they can see certain specialists. 'Congress needs to know there is no 'care' in Medicare if there are no doctors," Scott said.
CNN
4 hours ago
- CNN
Why men with broken heart syndrome are more likely to die than women
Heart disease Chronic diseasesFacebookTweetLink Follow Get inspired by a weekly roundup on living well, made simple. Sign up for CNN's Life, But Better newsletter for information and tools designed to improve your well-being. A 59-year-old man arrived at the Peking University First Hospital in Beijing for a procedure when he started having severe chest pain and shortness of breath. Four months earlier, he had cancerous tumors removed from his bladder. Around his family, he tried his best to appear strong and avoided discussions of his health. Privately, his severe anxiety over the possibility of a cancer recurrence kept him awake at night. Doctors said the man was experiencing takotsubo cardiomyopathy — also known as broken heart syndrome, as documented in a 2021 case study. The rare stress-induced heart condition has been observed primarily in women, but a study published in the Journal of the American Heart Association in May found that the illness may be more deadly for the men who get it. Thought to be caused by extreme emotional or physical events — such as learning about the death of a loved one, winning the lottery or lifting a heavy sofa — takotsubo cardiomyopathy, or TC, occurs when the heart muscle is flooded with stress hormones, causing part of it to 'freeze' in place. As the heart struggles to properly pump blood, symptoms resemble those of a heart attack, including chest pain, heart palpitations and irregular heartbeat. The new study analyzed data from nearly 200,000 patients hospitalized for TC in the United States between 2016 and 2020. While women accounted for 83% of the cases, men were more than twice as likely to die from the condition — with a mortality rate of 11.2%. 'The differences between men and women are a very striking finding,' said study coauthor Dr. Mohammad Reza Movahed, a clinical professor of medicine at the University of Arizona in Tucson. 'It raises a new, interesting question that should really be studied.' Similar to differences between men's and women's cardiovascular health more generally, the discrepancies in TC death rates are not well understood, Movahed said, especially because they counter trends in other heart diseases. It's widely theorized, however, that differences in hormone levels play a role. Stressful situations trigger the adrenal glands to release our fight-or-flight hormones, called catecholamines. They are meant to increase our blood pressure and raise our heart rate, but extreme levels can temporarily 'stun' cells in the heart's tissue, leading to TC, Movahed explained. Men are thought to produce more catecholamines during stressful situations compared with women, possibly leading men to present with more severe cases of TC, he suggested. Estrogen, a sex hormone produced at higher levels in women, may also have a protective effect on the cardiovascular system, making it easier to manage an extreme influx of catecholamines and reducing the risk of severe complications from TC, said Dr. Louis Vincent, a noninvasive-cardiology research fellow at the University of Miami, who coauthored a similar, multiyear study investigating discrepancies in men and women who had TC. Vincent was not involved in the new study. Beyond biological differences, social factors may play a role as well. 'Most (physicians) know about takotsubo, but they may think of it as a disease just affecting women, so the diagnosis might be overlooked in men,' said Dr. Deepak Bhatt, a cardiologist and the director of Mount Sinai Fuster Heart Hospital who was not involved in the study. 'With misdiagnosis, care is delayed, and that can sometimes lead to worse outcomes.' Men may also seek care at a later stage of illness, believing that their symptoms are manageable or may pass, said Dr. Alejandro Lemor, an assistant professor of interventional cardiology at the University of Mississippi Medical Center who was also not involved in the study. Deadly complications from TC include blood clots, stroke, cardiac arrest and heart failure, Lemor said. If the condition is caught early, medications can reduce the risk of having these complications, restore proper heart function and allow for full recovery within weeks, he added. Movahed's team was able to factor for important variables like age, race, income, chronic lung disease, hypertension and diabetes in the findings. However, there was no patient data on other comorbid diseases, such as a history of stroke or the presence of a Covid-19 infection, Vincent said. Additionally, the new study included in-patient diagnostic data only for those hospitalized with TC, so those who received outpatient care or died later from complications outside the hospital were likely not counted in the analysis, Movahed noted. To establish a firmer explanation for the differences in mortality rates between men and women and further test treatment methods, a more detailed dataset would be needed, Vincent said. 'People should be aware in studies like this, we're presenting findings that are based on diagnostic codes, and we're not looking at patient procedures or lab results,' Vincent said. 'But it's powerful in the sense that it lets us look at large populations and look at trends. And I think that this trend of a higher mortality in men is worth taking a deeper look into.' Sudden, severe chest pain or shortness of breath should always be treated as a medical emergency, warned Bhatt, who is also a professor of cardiovascular medicine at the Icahn School of Medicine at Mount Sinai in New York City. 'It's not a time to tough it out at home or get on the internet to figure it out. … Don't try to track down your primary care provider. Call emergency services,' Bhatt said. 'Time matters. By winning those few hours, you could save yourself irreparable damage to your heart.' Symptoms following physical stressors — a common cause of TC in men — should not be ignored, Movahed said, especially preceding medical events such as asthma attacks, seizures or complications from drug use. And while TC is caused by sudden stress, Bhatt said that managing chronic stress with daily meditation or exercise can lead to better cardiovascular health overall while giving you routines to fall back on in unexpected situations.
Washington Post
5 hours ago
- Washington Post
Will you be able to get a COVID-19 shot? Here's what we know so far
Want a COVID-19 vaccination this fall? For many Americans, it's not clear how easy it will be to get one — and some doctors already see signs of trouble. Health Secretary Robert F. Kennedy Jr., who was a longtime anti-vaccine activist, said last month that the shots are no longer recommended for healthy children and pregnant women, usurping a decision normally made by scientific experts, not political appointees . Days later, the Centers for Disease Control and Prevention said healthy children and pregnant women 'may' get COVID-19 vaccinations, removing stronger language that those groups 'should' get the shots. Its website currently lists no advice for pregnant women — graying out that section of the vaccine guidance chart. The change follows an earlier Trump administration step to limit COVID-19 vaccinations among healthy people under age 65. Until now, the U.S. — following guidance from independent experts who advise the CDC — has recommended yearly COVID-19 vaccinations for everyone age 6 months and older. Together, the moves have left health experts, vaccine makers and insurers uncertain about what to advise and what comes next. In Seattle, University of Washington infectious disease expert Dr. John B. Lynch said he recently advised a fellow health care worker who's pregnant to get vaccinated. She agreed, only to be turned away by two pharmacies. 'That's the practical implication,' Lynch told reporters in an Infectious Diseases Society of America briefing. 'We see confusion play out. We see chaos play out. And we see barriers to access.' The conflicting statements are also leaving primary care doctors uncertain of how to advise patients, Lynch added. 'I'm not sure when that confusion is going to be abated,' he said. Some of this season's vaccine is still available. Insurance industry experts say if people had coverage before Kennedy's announcement, insurance likely would still pay for the shots. In a move that could help access, Wisconsin's health department announced that state 'continues to recommend the current COVID-19 vaccine during pregnancy and for every person 6 months and older,' and reiterating the its state Medicaid program will continue to cover it. Who will be able to get what vaccines this fall is still unclear. Vaccine manufacturers plan to issue updated COVID-19 shots in the late summer or fall. But the Food and Drug Administration has said it plans to limit approval of seasonal shots to seniors and others at high risk, pending more studies of everyone else. Even if the U.S. approves vaccines only for certain groups, it still may be possible for others to get the shot depending on the outcome of upcoming advisory meetings, regulatory moves and decisions from insurers and employers. Insurers base coverage decisions on the recommendations of that CDC panel, the Advisory Committee on Immunization Practices. It's not clear what role that panel now will play. Paying out of pocket could cost about $200. The CDC says its new language for healthy kids — known as shared decision-making — means health insurers must pay for the vaccinations. Some insurers and employers may decide to still cover the shots no matter what, said Jen Kates, a senior vice president at the non-profit KFF, which studies health care issues. She noted that they may view the expense as worthwhile if it avoids a higher bill from someone hospitalized by the coronavirus. The FDA published a list of health conditions it said would qualify, including asthma, cancer, diabetes, obesity and physical inactivity. The CDC has a more extensive list. But, again, it isn't yet known how this will play out. For example, it could be hard for people to prove they're qualified. If they're vaccinated at a drugstore, for instance, the pharmacist wouldn't normally know about underlying health problems or even ask. And Ajay Sethi, an epidemiologist at the University of Wisconsin-Madison, said 'this elephant in the room' is that blocking vaccination to the healthy may mean people who have a risk factor and simply don't know it will miss out. Adding to the confusion was Kennedy's implication that the coronavirus isn't dangerous to pregnant women. COVID-19 complications during pregnancy can include preterm birth as well as serious illness in the mother, and the Society for Maternal-Fetal Medicine said it 'strongly reaffirms' its recommendation for vaccination during pregnancy. Moreover, vaccinating mom can provide spillover protection for the newborn for a few months, until he or she is old enough for their own vaccination, Lynch stressed. ___ Associated Press writer Mike Stobbe contributed to this report. ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
