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Rampant Disease Osteoporosis: Under-diagnosed, Under-treated - Experts Call For Earlier Diagnosis And Therapy
"With a continuously ageing population the incidence of osteoporosis is steadily rising. This does not only pose problems to the individuals concerned but is also an enormous challenge for our societies" according to Professor Wolfhart Puhl, past president of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT). Prof. Puhl, of the Orthopç¤dikum Allgç¤u, Germany, who is in Vienna for the EFORT Congress, emphasized that the problem"s "dimension is frequently underestimated. Policy makers and funding agencies do not always consider this development sufficiently in their planning."

Federal Legislation Needed To Improve Oversight Of In Vitro Fertilization, Opinion Piece States
The Family Building Act of 2009 (H.R. 697, S. 1258) "takes an important first step toward improving the way insurers view infertility," but it is "not a silver bullet for improving the way [in vitro fertilization] treatments are conducted and covered," John Zhang, founder and director of the New Hope Fertility Center in New York City, writes in an opinion piece in The Hill. The bill, introduced by Rep. Anthony Weiner (D-N.Y.) in the House and Sen. Kirsten Gillibrand (D-N.Y.) in the Senate, would require health insurance companies that cover obstetrical services to cover non-experimental treatment of infertility, including IVF.Zhang writes that one of the "most significant issues is that multiple-embryo transfers have become common practice," which increase the risk for premature delivery, contribute to infant mortality rates and add to costs. According to Zhang, the lack of federal guidelines, "coupled with failure by the insurance industry to cover IVF treatment in the U.S., has encouraged patients to insist on multiple embryo transfer to get the most out of the enormous out-of-pocket fees they incur per cycle." In addition, "because doctors are rewarded for better success rates, the emphasis moves from quality to quantity so that clinics may boost their success rates despite potentially dangerous and expensive health complications," Zhang writes.Zhang continues that if IVF "were more accessible and reimbursed by health insurers, and if embryo transfers were regulated, there would be consequences for clinics and physicians who practice irresponsibly," and it "would be nearly impossible for IVF to lead to high-order multiples with their attendant risks." Although the Family Building Act "addresses this problem from an insurance perspective, it does not incorporate all the critical pieces that would encourage more responsible IVF practices among patients and physicians," according to Zhang.Zhang suggests that lawmakers "set age limitations on insurance coverage to encourage responsible spending" and that regulators "revise the outdated IVF reporting system and start providing incentives that encourage responsible medical practices." He concludes that it is "crucial that legislators and doctors work together to create a regulated and safe environment for IVF patients that upholds the integrity of our country"s medical profession" (Zhang, The Hill, 6/22).
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Why Retroviruses Such As HIV Love Their Neighbors
Retroviruses such as HIV that are already within cells are much more easily transmitted when they are next to uninfected cells than if they are floating free in the bloodstream.
Endocrinology

Sen. Grassley Pushes For Exclusion Of Abortion Coverage In Health Care Reform Legislation

Senate Finance Committee ranking member Chuck Grassley (R-Iowa) and committee Chair Max Baucus (D-Mont.) have been privately negotiating over how their panel"s version of health reform legislation will address abortion coverage, Newsweek reports. According to Newsweek, Grassley has been pushing to include measures that would prohibit what he considers "taxpayer-subsidized abortion."Earlier this month, NARAL Pro-Choice America, Raising Women"s Voices and other women"s health advocates intensified efforts to ensure that abortion access was treated like access to all other services in health care reform, according to Newsweek. The article points out, "Though usually publicly debated in the language of personal liberty and morality, abortion is a medical procedure performed by a doctor. It"s currently covered by most private insurance plans and existing government programs, at least under some circumstances. This expanded federal oversight and use of federal dollars raises several thorny issues." Grassley is urging that federally regulated and subsidized plans be prohibited from covering the procedure. Lawmakers also could weigh whether religious organizations -- such as Catholic hospitals or health plans -- could opt out of the coverage.Jill Kozeny, Grassley"s spokesperson, said the senator "is opposed to mandating abortion coverage in health care legislation." According to his office, "At one point during the recent negotiations, there was a (compromise) solution that didn"t work out." Grassley -- who is known as a staunch opponent of abortion rights -- said in March, "I take a view that there is almost anything compromisable in public affairs. Abortion is about the only issue I know of that"s not compromisable."Baucus" office declined to comment on the legislation, citing "longstanding Finance Committee policy not to discuss the specifics of ongoing negotiations." Erin Shields, Baucus" press secretary, noted that the lawmaker has a 100% approval rating from NARAL. She added, "He has always fought for a woman"s right to choose and will continue to do so."According to Newsweek, the House"s and the Senate Health, Education, Labor and Pensions Committee"s proposals do not specify covered benefits, instead leaving the decision to an independent commission or the HHS secretary. A recent National Women"s Law Center poll found that 62% of participants would oppose a provision excluding abortion and family planning coverage (Feder, Newsweek, 7/14). Reprinted with kind permission from http://www.nationalpartnership.org. You can view the entire Daily Women"s Health Policy Report, search the archives, or sign up for email delivery here. The Daily Women"s Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company. © 2009 The Advisory Board Company. All rights reserved.


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