Texas measles outbreak grows to nearly 150 cases as more patients are hospitalized
The West Texas measles outbreak grew again on Friday, with state health officials now reporting 146 cases of the infectious virus.
Hospitalizations were up by two, rising from 18 to 20.
There has been only one death associated with the outbreak: the first in the nation since 2015.
An unvaccinated child died Tuesday in Lubbock, although the facility that treated the child told The Associated Press they did not live in Lubbock County.
Of the 146 cases, 70 are children and teens between the ages of five and 17 years old. And, 46 are four years old and younger.
Measles, which can survive in the air for up to two hours, can cause serious illness and death.
'Due to the highly contagious nature of this disease, additional cases are likely to occur in the outbreak area and the surrounding communities,' the Texas Department of State Health Services said.
A spokesperson for the state health department told The Associated Press that cases in West Texas have been concentrated in a 'close-knit, undervaccinated' Mennonite community.
While the majority of the cases - nearly 100 - have been reported in Gaines County, health authorities have sounded the alarm about potential exposures in San Marcos and San Antonio over Valentine's Day weekend.
'There is a very good possibility that hundreds of thousands of folks have come in contact with (the person),' Metro Health Deputy Director Dr. Anita Kurian said, according to KSAT.
In addition to concerns about the nation's response on a federal level, the actions of state government have come into question.
Mobile vaccination clinics have been opened in affected areas of the state, but Republican Governor Greg Abbott has yet to address the weeks-long outbreak in press conferences, according to The Texas Tribune. A request for comment from the governor was not immediately returned on Friday.
'Everybody is so sensitive to the vaccine topic due to COVID,' Ector County Judge Dustin Fawcett told the publication. 'We need to be very careful about how we address this topic … Our job is to provide the resources, not to tell people what they need to do.'
Meanwhile, the cases have spread across multiple states throughout the continguous U.S. and Alaska.
Kentucky reported its own case in an adult resident who recently traveled internationally.
'Kentucky health officials are working to identify and contact individuals who may have been exposed to the virus. The resident attended a fitness center in Frankfort, Kentucky while infectious,' the Kentucky Department for Public Health said in a statement.
'Measles is one of the most contagious viruses in the world,' Commissioner Dr. Steven Stack said. 'Fortunately, measles can be prevented with the measles, mumps and rubella (MMR) vaccine, which is safe and effective. Vaccines are an essential tool to keep children and adults safe and healthy.'
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Miami Herald
an hour ago
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US Could Make Childbirth Free, To Tackle Falling Birth Rates
America could make childbirth free for privately-insured families, in an effort to tackle declining birth rates. The bipartisan Supporting Healthy Moms and Babies Act, which would designate maternity care as an essential health benefit under the Affordable Care Act, was introduced in the Senate in May. If passed, insurance companies would be required to cover all childbirth-related expenses, including prenatal care, ultrasounds, delivery and postpartum care, without any co-pays or deductibles. Medicaid, America's government‐funded health insurance program, already covers these costs. Democratic New York Senator Kirsten Gillibrand, who has cosponsored the bill, told Newsweek: "Even with insurance, the costs associated with having a baby can be astronomical, and expenses are even greater for women who have health complications during pregnancy, a high-deductible insurance plan, or gaps in their coverage. By requiring insurance companies to fully cover care throughout pregnancy and a year postpartum, this bill will make childbirth more affordable for families." It comes amid growing concerns about America's population. Fertility rates are projected to average 1.6 births per woman over the next three decades, according to the Congressional Budget Office's latest forecast released this year. This number is well below the replacement level of 2.1 births per woman required to maintain a stable population without immigration. The Donald Trump administration has made this issue one of its priorities, the White House exploring giving women a "baby bonus" of $5,000, according to an April New York Times report. Many trying to tackle this global issue have called for public health policies and financial plans to help make it easier for couples to have children in society. The financial crisis and its effect on housing, inflation and pay is generally named as a major contributor to people's decisions to delay having children, to have fewer children or not to have them at all. Republican Mississippi Senator Cindy Hyde-Smith, who introduced the bill along with Gillibrand, Democratic Virginia Senator Time Kaine and Republican Missouri Senator Josh Hawley, said she hopes her bill will help change this. "Bringing a child into the world is costly enough without piling on cost-share fees that saddle many mothers and families with debt. This legislation would take away some of the burden for childbearing generations," she said in May. "By relieving financial stresses associated with pregnancy and childbirth, hopefully more families will be encouraged to embrace the beautiful gift and responsibility of parenthood." Pregnancy, childbirth and postpartum care average a total of $18,865 with average out-of-pocket payments totaling $2,854, according to KFF, a nonpartisan health policy research organization, based on data from claims between 2018 and 2022. Financial concerns are repeatedly cited as a reason for not having children. Indeed, just a few days ago, the United Nations Population Fund warned of a global birth rate crisis, after finding that one in five had not had or did not expect to have the number of children they wanted. Some 39 percent said this was because of financial limitations. But Suzanne Bell, who studies fertility and related behaviors with the Johns Hopkins Bloomberg School of Public Health, said that while "making childbirth cheaper or free is incredibly important," she does not think it will effect the birth rate. "The cost of raising a child, in particular the cost of child care, is very high and far outweighs the cost of childbirth," she told Newsweek. "We desperately need policies that support families with the cost of child care, especially families with low incomes." Beth Jarosz, a senior program director U.S. programs at the Population Reference Bureau, agreed that "reducing health care costs is important, but may not be enough to move the needle on births." "The cost of childbirth is just one of the many costs of having a child, and people are also reeling from the much bigger costs of child care, housing, and other necessities," she told Newsweek. Theodore D Cosco, a research fellow at the University of Oxford's Institute of Population Aging, called the bill "a step in the right direction" but said the same as Bell and Jarosz. "Parents generally aren't deciding whether to have children based on a $3,000 delivery bill, they're looking at the hundreds of thousands of dollars spent actually raising the child," he told Newsweek. But he added: "The policy certainly carries some symbolic weight, signaling bipartisan support for families and could potentially help build momentum for broader reforms, such as child care subsidies or paid parental leave." The other concern is that, while financial concerns are generally accepted as a major contributor to declining birth rates, they are not the lone cause. Bell said that even the policies she calls for "are also unlikely to increase the birth rate, as evidence from other countries with much more supportive policies suggest." Norway is considered a global leader in parental leave and child care policies, and the United Nations International Children's Fund (UNICEF) ranks it among the top countries for family-friendly policies. But it too is facing a birth rate crisis. Norway offers parents 12 months of shared paid leave for birth and an additional year each afterward. 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Atlantic
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- Atlantic
The Senator Who Failed America on Vaccines
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Since then, Cassidy has continued to give Kennedy the benefit of the doubt. On Monday, after Kennedy dismissed all 17 members of the vaccine advisory committee, Cassidy posted on X that he was working with Kennedy to prevent the open roles from being filled with 'people who know nothing about vaccines except suspicion.' The senator has failed, undeniably and spectacularly. One new appointee, Robert Malone, has repeatedly spread misinformation (or what he prefers to call 'scientific dissent') about vaccines. Another appointee, Vicky Pebsworth, is on the board of an anti-vax nonprofit, the National Vaccine Information Center. Cassidy may keep insisting that he is doing all he can to stand up for vaccines. But he already had his big chance to do so, and he blew it. Now, with the rest of America, he's watching the nation's vaccine future take a nosedive. So far, the senator hasn't appeared interested in any kind of mea culpa for his faith in Kennedy's promises. On Thursday, I caught Cassidy as he hurried out of a congressional hearing room. He was still reviewing the appointees, he told me and several other reporters who gathered around him. When I chased after him down the hallway to ask more questions, he told me, 'I'll be putting out statements, and I'll let those statements stand for themselves.' A member of his staff dismissed me with a curt 'Thank you, sir.' Cassidy's staff has declined repeated requests for an interview with the senator since the confirmation vote in January. With the exception of Mitch McConnell, every GOP senator voted to confirm Kennedy. They all have to own the health secretary's actions. But Cassidy seemed to be the Republican most concerned about Kennedy's nomination, and there was a good reason to think that the doctor would vote his conscience. In 2021, Cassidy was one of seven Senate Republicans who voted to convict Donald Trump on an impeachment charge after the insurrection at the Capitol. But this time, the senator—who is up for reelection next year, facing a more MAGA-friendly challenger—ultimately fell in line. Cassidy tried to have it both ways: elevating Kennedy to his job while also vowing to constrain him. In casting his confirmation vote, Cassidy implied that the two would be in close communication, and that Kennedy had asked for his input on hiring decisions. The two reportedly had breakfast in March to discuss the health secretary's plan to dramatically reshape the department. 'Senator Cassidy speaks regularly with secretary Kennedy and believes those conversations are much more productive when they're held in private, not through press headlines,' a spokesperson for Cassidy wrote in an email. (A spokesperson for HHS did not immediately respond to a request for comment.) At times, it has appeared as though Cassidy's approach has had some effect on the health secretary. Amid the measles outbreak in Texas earlier this year, Kennedy baselessly questioned the safety of the MMR vaccine. In April, after two unvaccinated children died, Cassidy posted on X: 'Everyone should be vaccinated! There is no treatment for measles. No benefit to getting measles. Top health officials should say so unequivocally b/4 another child dies.' Cassidy didn't call out Kennedy by name, but the health secretary appeared to get the message. Later that day, Kennedy posted that the measles vaccine was the most effective way to stave off illness. ('Completely agree,' Cassidy responded.) All things considered, that's a small victory. Despite Kennedy's claims that he is not an anti-vaxxer, he has enacted a plainly anti-vaccine agenda. Since being confirmed, he has pushed out the FDA's top vaccine regulator, hired a fellow vaccine skeptic to investigate the purported link between autism and shots, and questioned the safety of childhood vaccinations currently recommended by the CDC. As my colleague Katherine J. Wu wrote this week, 'Whether he will admit to it or not, he is serving the most core goal of the anti-vaccine movement—eroding access to, and trust in, immunization.' The reality is that back channels can be only so effective. Cassidy's main power is to call Kennedy before the Senate health committee, which he chairs, and demand an explanation for Kennedy's new appointees to the CDC's vaccine-advisory committee. Cassidy might very well do that. In February, he said that Kennedy would 'come before the committee on a quarterly basis, if requested.' Kennedy did appear before Cassidy's committee last month to answer questions about his efforts to institute mass layoffs at his agency. Some Republicans (and many Democrats) pressed the secretary on those efforts, while others praised them. Cassidy, for his part, expressed concerns about Kennedy's indiscriminate cutting of research programs, but still, he was largely deferential. 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Yahoo
4 hours ago
- Yahoo
Twin federal proposals threaten provider taxes, key source of Medicaid funding for states
Republican efforts to restrict taxes on hospitals, health plans, and other providers that states use to help fund their Medicaid programs could strip them of tens of billions of dollars. The move could shrink access to health care for some of the nation's poorest and most vulnerable people, warn analysts, patient advocates, and Democratic political leaders. No state has more to lose than California, whose Medicaid program, called Medi-Cal, covers nearly 15 million residents with low incomes and disabilities. That's twice as many as New York and three times as many as Texas. A proposed rule by the Centers for Medicare & Medicaid Services, echoed in the Republicans' House reconciliation bill, could significantly curtail the federal dollars many states draw in matching funds from what are known as provider taxes. Although it's unclear how much states could lose, the revenue up for grabs is big. For instance, California has netted an estimated $8.8 billion this fiscal year from its tax on managed care plans and took in about $5.9 billion last year from hospitals. California Democrats are already facing a $12 billion deficit, and they have drawn political fire for scaling back some key health care policies, including full Medi-Cal coverage for immigrants without permanent legal status. And a loss of provider tax revenue could add billions to the current deficit, forcing state lawmakers to make even more unpopular cuts to Medi-Cal benefits. 'If Republicans move this extreme MAGA proposal forward, millions will lose coverage, hospitals will close, and safety nets could collapse under the weight,' Gov. Gavin Newsom, a Democrat, said in a statement, referring to President Donald Trump's 'Make America Great Again' movement. The proposals are also a threat to Proposition 35, a ballot initiative California voters approved last November to make permanent the tax on managed care organizations, or MCOs, and dedicate some of its proceeds to raise the pay of doctors and other providers who treat Medi-Cal patients. All states except Alaska have at least one provider tax on managed care plans, hospitals, nursing homes, emergency ground transportation, or other types of health care businesses. The federal government spends billions of dollars a year matching these taxes, which generally lead to more money for providers, helping them balance lower Medicaid reimbursement rates while allowing states to protect against economic downturns and budget constraints. New York, Massachusetts, and Michigan would also be among the states hit hard by Republicans' drive to scale back provider taxes, which allow states to boost their share of Medicaid spending to receive increased federal Medicaid funds. In a May 12 statement announcing its proposed rule, CMS described a 'loophole' as 'money laundering,' and said California had financed coverage for over 1.6 million 'illegal immigrants' with the proceeds from its MCO tax. CMS said its proposal would save more than $30 billion over five years. 'This proposed rule stops the shell game and ensures federal Medicaid dollars go where they're needed most — to pay for health care for vulnerable Americans who rely on this program, not to plug state budget holes or bankroll benefits for noncitizens,' Mehmet Oz, the CMS administrator, said in the statement. Medicaid allows coverage for noncitizens who are legally present and have been in the country for at least five years. And California uses state money to pay for almost all of the Medi-Cal coverage for immigrants who are not in the country legally. California, New York, Michigan, and Massachusetts together account for more than 95% of the 'federal taxpayer losses' from the loophole in provider taxes, CMS said. But nearly every state would feel some impact, especially under the provisions in the reconciliation bill, which are more restrictive than the CMS proposal. None of it is a done deal. The CMS proposal, published May 15, has not been adopted yet, and the reconciliation bill is likely to be altered significantly in the Senate. But the restrictions being contemplated would be far-reaching. A report by Michigan's Department of Health and Human Services, ordered by Democratic Gov. Gretchen Whitmer, found that a reduction of revenue from the state's hospital tax could 'destabilize hospital finances, particularly in rural and safety-net facilities, and increase the risk of service cuts or closures.' Losing revenue from the state's MCO tax 'would likely require substantial cuts, tax increases, or reductions in coverage and access to care,' it said. CMS declined to respond to questions about its proposed rule. The Republicans' House-passed reconciliation bill, though not the CMS proposal, also prohibits any new provider taxes or increases to existing ones. The American Hospital Association, which represents nearly 5,000 hospitals and health systems nationwide, said the proposed moratorium on new or increased provider taxes could force states 'to make significant cuts to Medicaid to balance their budgets, including reducing eligibility, eliminating or limiting benefits, and reducing already low payment rates for providers.' Because provider taxes draw matching federal dollars, Washington has a say in how they are implemented. And the Republicans who run the federal government are looking to spend far fewer of those dollars. In California, the insurers that pay the MCO tax are reimbursed for the portion levied on their Medi-Cal enrollment. That helps explain why the tax rate on Medi-Cal enrollment is sharply higher than on commercial enrollment. Over 99% of the tax money the insurers pay comes from their Medi-Cal business, which means most of the state's insurers get back almost all the tax they pay. That imbalance, which CMS describes as a loophole, is one of the main things Republicans are trying to change. If either the CMS rule or the corresponding provisions in the House reconciliation bill were enacted, states would be required to levy provider taxes equally on Medicaid and commercial business to draw federal dollars. California would likely be unable to raise the commercial rates to the level of the Medi-Cal ones, because state law constrains the legislature's ability to do so. The only way to comply with the rule would be to lower the tax rate on Medi-Cal enrollment, which would sharply reduce revenue. CMS has warned California and other states for years, including under the Biden administration, that it was considering significant changes to MCO and other provider taxes. Those warnings were never realized. But the risk may be greater this time, some observers say, because the proposed changes are echoed in the House-passed reconciliation bill and intertwined with a broader Republican strategy — and set of proposals — to cut Medicaid spending by close to $800 billion. 'All of these proposals move in the same direction: fewer people enrolled, less generous Medicaid programs over time,' said Edwin Park, a research professor at Georgetown University's McCourt School of Public Policy. California's MCO tax is expected to net California $13.9 billion over the next two fiscal years, according to January estimates. The state's hospital tax is expected to bring in an estimated $9 billion this year, up sharply from last year, according to the Department of Health Care Services, which runs Medi-Cal. Losing a significant slice of that revenue on top of other Medicaid cuts in the House reconciliation bill 'all adds up to be potentially a super serious impact on Medi-Cal and the California state budget overall,' said Kayla Kitson, a senior policy fellow at the California Budget & Policy Center. And it's not only California that will feel the pain. 'All states are going to be hurt by this," Park said. Wolfson writes for KFF Health News, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism. Sign up for our Wide Shot newsletter to get the latest entertainment business news, analysis and insights. This story originally appeared in Los Angeles Times.
