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586  </li>
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607              <a id="moduleLink19705635" class=" " href="/editorials/" ><span>Editorials</span></a>
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621              <a id="moduleLink18593383" class=" " href="/news/" ><span>News</span></a>
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631  <li class="module   " id="moduleContentWrapper19673361">
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663              <a id="moduleLink19473998" class=" " href="/arizona-thoracic-society/" ><span>Arizona Thoracic Society</span></a>
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816
817  <li class="module   " id="moduleContentWrapper17809889">
818
819    <div id="moduleContent17809889">
820
821              <a id="moduleLink17809889" class=" " href="/arizona-thoracic-society-newsl/" ><span>Arizona Thoracic Society Newsletters</span></a>
822      
823
824      
825
826    </div>
827
828  </li>
829
830
831  <li class="module   " id="moduleContentWrapper7636628">
832
833    <div id="moduleContent7636628">
834
835              <a id="moduleLink7636628" class=" " href="/case-presentations/" ><span>Case Presentations</span></a>
836      
837
838      
839
840    </div>
841
842  </li>
843
844
845  <li class="module   " id="moduleContentWrapper19267317">
846
847    <div id="moduleContent19267317">
848
849              <a id="moduleLink19267317" class=" " href="/advocacy/" ><span>Advocacy</span></a>
850      
851
852      
853
854    </div>
855
856  </li>
857
858
859  <li class="module   " id="moduleContentWrapper12683313">
860
861    <div id="moduleContent12683313">
862
863              <a id="moduleLink12683313" class=" " href="/slurping-around-with-pdw/" ><span>Slurping Around with P.D.W.</span></a>
864      
865
866      
867
868    </div>
869
870  </li>
871
872
873  <li class="module   " id="moduleContentWrapper19712247">
874
875    <div id="moduleContent19712247">
876
877              <a id="moduleLink19712247" class=" " href="/legal-documents/" ><span>Legal Documents</span></a>
878      
879
880      
881
882    </div>
883
884  </li>
885
886</ul>
887
888        
889
890      
891  
892    </div></div></div></div></div></div>
893
894  
895
896    <div id="sectionContent8127697" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
897
898       <div class="caption">Instructions for Authors</div> 
899
900      
901        
902          <ul class="content-navigation">
903  <li class="module   " id="moduleContentWrapper19369348">
904
905    <div id="moduleContent19369348">
906
907              <a id="moduleLink19369348" class=" " href="/manuscript-guidelines/" ><span>Manuscript Guidelines</span></a>
908      
909
910      
911
912    </div>
913
914  </li>
915
916
917  <li class="module   " id="moduleContentWrapper19649556">
918
919    <div id="moduleContent19649556">
920
921              <a id="moduleLink19649556" class=" " href="/fees/" ><span>Fees</span></a>
922      
923
924      
925
926    </div>
927
928  </li>
929
930
931  <li class="module   " id="moduleContentWrapper19370068">
932
933    <div id="moduleContent19370068">
934
935              <a id="moduleLink19370068" class=" " href="/policies-procedures/" ><span>Policies &amp; Procedures</span></a>
936      
937
938      
939
940    </div>
941
942  </li>
943
944
945  <li class="module   " id="moduleContentWrapper19370106">
946
947    <div id="moduleContent19370106">
948
949              <a id="moduleLink19370106" class=" " href="/med-image-of-the-month/" ><span>Med Image of the Month</span></a>
950      
951
952      
953
954    </div>
955
956  </li>
957
958
959  <li class="module   " id="moduleContentWrapper19370108">
960
961    <div id="moduleContent19370108">
962
963              <a id="moduleLink19370108" class=" " href="/case-of-the-month-com/" ><span>Case of the Month (COM)</span></a>
964      
965
966      
967
968    </div>
969
970  </li>
971
972
973  <li class="module   " id="moduleContentWrapper19369424">
974
975    <div id="moduleContent19369424">
976
977              <a id="moduleLink19369424" class=" " href="/checklist/" ><span>Checklist</span></a>
978      
979
980      
981
982    </div>
983
984  </li>
985
986
987  <li class="module   " id="moduleContentWrapper7637081">
988
989    <div id="moduleContent7637081">
990
991              <a id="moduleLink7637081" class=" " href="/submit-article/" ><span>Submit Article</span></a>
992      
993
994      
995
996    </div>
997
998  </li>
999
1000</ul>
1001
1002        
1003
1004      
1005  
1006    </div></div></div></div></div></div>
1007
1008  
1009
1010    <div id="sectionContent3587659" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1011
1012       <div class="caption">Information for Reviewers</div> 
1013
1014      
1015        
1016          <ul class="content-navigation">
1017  <li class="module   " id="moduleContentWrapper8471564">
1018
1019    <div id="moduleContent8471564">
1020
1021              <a id="moduleLink8471564" class=" " href="/instructions-for-reviewers/" ><span>Instructions for Reviewers</span></a>
1022      
1023
1024      
1025
1026    </div>
1027
1028  </li>
1029
1030
1031  <li class="module   " id="moduleContentWrapper8471668">
1032
1033    <div id="moduleContent8471668">
1034
1035              <a id="moduleLink8471668" class=" " href="/review-form-template/" ><span>Review Form Template</span></a>
1036      
1037
1038      
1039
1040    </div>
1041
1042  </li>
1043
1044</ul>
1045
1046        
1047
1048      
1049  
1050    </div></div></div></div></div></div>
1051
1052  
1053
1054    <div id="sectionContent7856653" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1055
1056       <div class="caption">About Southwest Journal of Pulmonary and Critical Care</div> 
1057
1058      
1059        
1060          <ul class="content-navigation">
1061  <li class="module   " id="moduleContentWrapper18576022">
1062
1063    <div id="moduleContent18576022">
1064
1065              <a id="moduleLink18576022" class=" " href="/about/" ><span>About</span></a>
1066      
1067
1068      
1069
1070    </div>
1071
1072  </li>
1073
1074
1075  <li class="module   " id="moduleContentWrapper19748171">
1076
1077    <div id="moduleContent19748171">
1078
1079              <a id="moduleLink19748171" class=" " href="/open-access-policy/" ><span>Open Access Policy</span></a>
1080      
1081
1082      
1083
1084    </div>
1085
1086  </li>
1087
1088</ul>
1089
1090        
1091
1092      
1093  
1094    </div></div></div></div></div></div>
1095
1096  
1097
1098    <div id="sectionContent3897788" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1099
1100       <div class="caption">Letters to the Editor</div> 
1101
1102      
1103        
1104          <ul class="content-navigation">
1105  <li class="module   " id="moduleContentWrapper9286636">
1106
1107    <div id="moduleContent9286636">
1108
1109              <a id="moduleLink9286636" class=" " href="/letters-to-the-editor/" ><span>Letters to the Editor</span></a>
1110      
1111
1112      
1113
1114    </div>
1115
1116  </li>
1117
1118</ul>
1119
1120        
1121
1122      
1123  
1124    </div></div></div></div></div></div>
1125
1126  
1127
1128    <div id="sectionContent8181091" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1129
1130       <div class="caption">Advertising</div> 
1131
1132      
1133        
1134          <ul class="content-navigation">
1135  <li class="module   " id="moduleContentWrapper19691241">
1136
1137    <div id="moduleContent19691241">
1138
1139              <a id="moduleLink19691241" class=" " href="/advertising-policy/" ><span>Advertising Policy</span></a>
1140      
1141
1142      
1143
1144    </div>
1145
1146  </li>
1147
1148</ul>
1149
1150        
1151
1152      
1153  
1154    </div></div></div></div></div></div>
1155
1156  
1157
1158    <div id="sectionContent3887960" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1159
1160       <div class="caption">Editors</div> 
1161
1162      
1163        
1164          <ul class="content-navigation">
1165  <li class="module   " id="moduleContentWrapper9260346">
1166
1167    <div id="moduleContent9260346">
1168
1169              <a id="moduleLink9260346" class=" " href="/editors/" ><span>Editors</span></a>
1170      
1171
1172      
1173
1174    </div>
1175
1176  </li>
1177
1178
1179  <li class="module   " id="moduleContentWrapper9260432">
1180
1181    <div id="moduleContent9260432">
1182
1183              <a id="moduleLink9260432" class=" " href="/editorial-board/" ><span>Editorial Board</span></a>
1184      
1185
1186      
1187
1188    </div>
1189
1190  </li>
1191
1192</ul>
1193
1194        
1195
1196      
1197  
1198    </div></div></div></div></div></div>
1199
1200  
1201
1202  
1203
1204</div></div></div></div></div></div>
1205  <div id="sidebar2Wrapper" class="verticalNavigationBarWrapper"><div class="iw-vnb1"><div class="iw-vnb2"><div class="iw-vnb3"><div class="iw-vnb4"><div id="sidebar2" class="verticalNavigationBar">
1206
1207  
1208
1209    <div id="sectionContent3275086" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1210
1211       <div class="caption">Search Journal-type in search term and press enter</div> 
1212
1213      
1214        
1215          <div class="content-passthrough"><div id="moduleContentWrapper7634174" class="widget-wrapper  widget-type-search"><div id="moduleContent7634174">
1216
1217
1218<!-- <form method="get" action="/display/Search">
1219	<div class="search-form-pt-wrapper">
1220	  <div class="search-form-pt">
1221	    <span class="queryFieldWrapper"><input type="text" class="text queryField" name="searchQuery" value=""/></span>
1222	    <span class="queryButtonWrapper"><input type="submit" class="button queryButton" value="&raquo;"/></span>
1223	    <input type="hidden" name="moduleId" value="7634174"/>
1224	    <br class="clearer"/>
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1226	</div>
1227</form> -->
1228
1229<form method="get" action="/display/Search">
1230	<input type="hidden" name="moduleId" value="7634174"/>
1231	<table class="search-form-pt-wrapper search-form-table" border="0" cellpadding="0" cellspacing="0">
1232		<tr class="search-form-pt search-form-row">
1233			<td class="queryFieldCell search-form-cell">
1234				<span class="queryFieldWrapper">
1235					<input type="text" class="text queryField" name="searchQuery" value=""/>
1236				</span>
1237			</td>
1238			<td class="queryButtonCell search-form-cell">
1239				<span class="queryButtonWrapper">
1240					<input type="submit" class="button queryButton" value="&rarr;"/>
1241				</span>
1242			</td>
1243		</tr>
1244	</table> 
1245</form></div></div></div>
1246
1247        
1248
1249      
1250  
1251    </div></div></div></div></div></div>
1252
1253  
1254
1255    <div id="sectionContent3906665" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1256
1257       <div class="caption">SWJPCCS Manuscript Lists</div> 
1258
1259      
1260        
1261          <ul class="content-navigation">
1262  <li class="module   " id="moduleContentWrapper18126330">
1263
1264    <div id="moduleContent18126330">
1265
1266              <a id="moduleLink18126330" class=" " href="/case-of-the-month/" ><span>Case of the Month</span></a>
1267      
1268
1269      
1270
1271    </div>
1272
1273  </li>
1274
1275
1276  <li class="module   " id="moduleContentWrapper19321553">
1277
1278    <div id="moduleContent19321553">
1279
1280              <a id="moduleLink19321553" class=" " href="/complete-listings-by-category/" ><span>Complete Listings by Category</span></a>
1281      
1282
1283      
1284
1285    </div>
1286
1287  </li>
1288
1289
1290  <li class="module   " id="moduleContentWrapper19655100">
1291
1292    <div id="moduleContent19655100">
1293
1294              <a id="moduleLink19655100" class=" " href="/issues/" ><span>Issues</span></a>
1295      
1296
1297      
1298
1299    </div>
1300
1301  </li>
1302
1303
1304  <li class="module   " id="moduleContentWrapper19350637">
1305
1306    <div id="moduleContent19350637">
1307
1308              <a id="moduleLink19350637" class=" " href="/medical-image-of-the-month/" ><span>Medical Image of the Month</span></a>
1309      
1310
1311      
1312
1313    </div>
1314
1315  </li>
1316
1317
1318  <li class="module   " id="moduleContentWrapper9314209">
1319
1320    <div id="moduleContent9314209">
1321
1322              <a id="moduleLink9314209" class=" " href="/recent-postings/" ><span>Most Recent Volume</span></a>
1323      
1324
1325      
1326
1327    </div>
1328
1329  </li>
1330
1331
1332  <li class="module   " id="moduleContentWrapper9310786">
1333
1334    <div id="moduleContent9310786">
1335
1336              <a id="moduleLink9310786" class=" " href="/past-volumes/" ><span>Past Volumes</span></a>
1337      
1338
1339      
1340
1341    </div>
1342
1343  </li>
1344
1345
1346  <li class="module   " id="moduleContentWrapper19660873">
1347
1348    <div id="moduleContent19660873">
1349
1350              <a id="moduleLink19660873" class=" " href="/ultrasounds/" ><span>Ultrasounds</span></a>
1351      
1352
1353      
1354
1355    </div>
1356
1357  </li>
1358
1359</ul>
1360
1361        
1362
1363      
1364  
1365    </div></div></div></div></div></div>
1366
1367  
1368
1369    <div id="sectionContent3462032" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1370
1371       <div class="caption">Southwest Pulmonary and Critical Care Fellowships</div> 
1372
1373      
1374        
1375          <ul class="content-navigation">
1376  <li class="module   " id="moduleContentWrapper19746669">
1377
1378    <div id="moduleContent19746669">
1379
1380              <a id="moduleLink19746669" class=" " href="/arizona/" ><span>Arizona</span></a>
1381      
1382
1383      
1384
1385    </div>
1386
1387  </li>
1388
1389
1390  <li class="module   " id="moduleContentWrapper19746670">
1391
1392    <div id="moduleContent19746670">
1393
1394              <a id="moduleLink19746670" class=" " href="/california/" ><span>California</span></a>
1395      
1396
1397      
1398
1399    </div>
1400
1401  </li>
1402
1403
1404  <li class="module   " id="moduleContentWrapper19746671">
1405
1406    <div id="moduleContent19746671">
1407
1408              <a id="moduleLink19746671" class=" " href="/colorado/" ><span>Colorado</span></a>
1409      
1410
1411      
1412
1413    </div>
1414
1415  </li>
1416
1417
1418  <li class="module   " id="moduleContentWrapper19746672">
1419
1420    <div id="moduleContent19746672">
1421
1422              <a id="moduleLink19746672" class=" " href="/new-mexico/" ><span>New Mexico</span></a>
1423      
1424
1425      
1426
1427    </div>
1428
1429  </li>
1430
1431</ul>
1432
1433        
1434
1435      
1436  
1437    </div></div></div></div></div></div>
1438
1439  
1440
1441    <div id="sectionContent8174651" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1442
1443       <div class="caption">In Memoriam</div> 
1444
1445      
1446        
1447          <ul class="content-navigation">
1448  <li class="module   " id="moduleContentWrapper19749878">
1449
1450    <div id="moduleContent19749878">
1451
1452              <a id="moduleLink19749878" class=" " href="/vipul-jain-mbbs/" ><span>Vipul Jain MBBS</span></a>
1453      
1454
1455      
1456
1457    </div>
1458
1459  </li>
1460
1461
1462  <li class="module   " id="moduleContentWrapper19749791">
1463
1464    <div id="moduleContent19749791">
1465
1466              <a id="moduleLink19749791" class=" " href="/debra-romberger-md/" ><span>Debra J. Romberger MD</span></a>
1467      
1468
1469      
1470
1471    </div>
1472
1473  </li>
1474
1475
1476  <li class="module   " id="moduleContentWrapper19748800">
1477
1478    <div id="moduleContent19748800">
1479
1480              <a id="moduleLink19748800" class=" " href="/joseph-h-sisson-md/" ><span>Joseph H. Sisson MD</span></a>
1481      
1482
1483      
1484
1485    </div>
1486
1487  </li>
1488
1489</ul>
1490
1491        
1492
1493      
1494  
1495    </div></div></div></div></div></div>
1496
1497  
1498
1499    <div id="sectionContent8187907" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1500
1501       <div class="caption">Social Media</div> 
1502
1503      
1504        
1505          <ul class="content-navigation">
1506  <li class="module   " id="moduleContentWrapper19749282">
1507
1508    <div id="moduleContent19749282">
1509
1510              <a id="moduleLink19749282" class=" " href="/facebook/" ><span>Facebook</span></a>
1511      
1512
1513      
1514
1515    </div>
1516
1517  </li>
1518
1519
1520  <li class="module   " id="moduleContentWrapper19749301">
1521
1522    <div id="moduleContent19749301">
1523
1524              <a id="moduleLink19749301" class=" " href="/bluesky/" ><span>Bluesky</span></a>
1525      
1526
1527      
1528
1529    </div>
1530
1531  </li>
1532
1533</ul>
1534
1535        
1536
1537      
1538  
1539    </div></div></div></div></div></div>
1540
1541  
1542
1543    <div id="sectionContent7856148" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1544
1545       <div class="caption">RSS Feeds</div> 
1546
1547      
1548        
1549          <div class="content-passthrough"><div id="moduleContentWrapper18575563" class="widget-wrapper  widget-type-rss-syndicate"><div id="moduleContent18575563">
1550
1551
1552
1553  <ul class="feed-list-inline">
1554    
1555          <li><a href="http://www.swjpcc.com/southwest-j-pulm-crit-care-rec/rss.xml" class="feed-link">Southwest J Pulm Crit Care: Recent Content RSS</a></li>
1556        
1557  </ul>
1558
1559</div></div></div>
1560
1561        
1562
1563      
1564  
1565    </div></div></div></div></div></div>
1566
1567  
1568
1569    <div id="sectionContent8183243" class="sectionWrapper  "><div class="iw-s1"><div class="iw-s2"><div class="iw-s3"><div class="iw-s4"><div class="section">
1570
1571       <div class="caption">Journal Club Archives</div> 
1572
1573      
1574        
1575          <ul class="content-navigation">
1576  <li class="module   " id="moduleContentWrapper8134166">
1577
1578    <div id="moduleContent8134166">
1579
1580              <a id="moduleLink8134166" class=" " href="/critical-care-journal-club/" ><span>Critical Care Journal Club</span></a>
1581      
1582
1583      
1584
1585    </div>
1586
1587  </li>
1588
1589
1590  <li class="module   " id="moduleContentWrapper8133878">
1591
1592    <div id="moduleContent8133878">
1593
1594              <a id="moduleLink8133878" class=" " href="/pulmonary-journal-club-old/" ><span>Pulmonary Journal Club</span></a>
1595      
1596
1597      
1598
1599    </div>
1600
1601  </li>
1602
1603</ul>
1604
1605        
1606
1607      
1608  
1609    </div></div></div></div></div></div>
1610
1611  
1612
1613  
1614
1615</div></div></div></div></div></div>
1616  
1617  
1618
1619  <div id="contentWrapper"><div id="content">
1620    
1621          
1622    
1623
1624
1625  
1626
1627
1628      <div class="header"> <p style="text-align: center;"><strong><span style="font-size: 200%;">News</span></strong></p>
1629<p style="text-align: center;"><span style="color: #181818;"><span style="font-size: 9pt; font-family: Verdana;">Last 50&nbsp;News Postings</span></span></p>
1630<p style="text-align: center;"><span style="font-size: 120%;"><span style="font-size: 80%;">(Most recent listed first. Click on title to be directed to the manuscript.)</span></span></p>
1631<table border="0" cellspacing="0" cellpadding="0" width="466">
1632<colgroup><col width="466"></col> </colgroup> 
1633<tbody>
1634<tr height="18">
1635<td class="xl69" width="466" height="18"><a href="https://www.swjpcc.com/news/2025/1/23/trump-administration-assaults-nih-and-who-rfk-jrs-nomination.html"><span style="color: blue;">Trump Administration Assaults NIH and WHO-RFK Jr&rsquo;s   Nomination Hearing</span></a></td>
1636</tr>
1637<tr height="17">
1638<td class="xl67" height="17"><span style="color: blue;">&nbsp;&nbsp; </span><a href="https://www.swjpcc.com/news/2025/1/23/trump-administration-assaults-nih-and-who-rfk-jrs-nomination.html"><span style="color: blue;">Scheduled</span></a></td>
1639</tr>
1640<tr height="17">
1641<td class="xl67" height="17"><a href="https://www.swjpcc.com/news/2024/7/12/cms-proposes-increased-reimbursement-for-hospitals-but-a-dec-1.html"><span style="color: blue;">CMS Proposes Increased Reimbursement for Hospitals but a   Decrease for</span></a></td>
1642</tr>
1643<tr height="17">
1644<td class="xl67" height="17"><span style="color: blue;">&nbsp;&nbsp; </span><a href="https://www.swjpcc.com/news/2024/7/12/cms-proposes-increased-reimbursement-for-hospitals-but-a-dec-1.html"><span style="color: blue;">Physicians in&nbsp;2025</span></a></td>
1645</tr>
1646<tr height="17">
1647<td class="xl67" height="17"><a href="https://www.swjpcc.com/news/2024/6/10/california-bill-would-tighten-oversight-on-private-equity-ho.html"><span style="color: blue;">California Bill Would Tighten Oversight on Private Equity   Hospital&nbsp;Purchases</span></a></td>
1648</tr>
1649<tr height="17">
1650<td class="xl67" height="17"><a href="https://www.swjpcc.com/news/2024/5/11/private-equity-backed-steward-healthcare-files-for-bankruptc.html"><span style="color: blue;">Private Equity-Backed Steward Healthcare Files   for&nbsp;Bankruptcy</span></a></td>
1651</tr>
1652<tr height="17">
1653<td class="xl67" height="17"><a href="https://www.swjpcc.com/news/2024/3/5/former-us-surgeon-general-criticizing-5000-emergency-room-bi.html"><span style="color: blue;">Former US Surgeon General Criticizing $5,000 Emergency   Room&nbsp;Bill</span></a></td>
1654</tr>
1655<tr height="17">
1656<td class="xl67" height="17"><a href="https://www.swjpcc.com/news/2024/3/3/nurses-launch-billboard-campaign-against-renewal-of-desert-r.html"><span style="color: blue;">Nurses Launch Billboard Campaign Against Renewal of Desert   Regional</span></a></td>
1657</tr>
1658<tr height="17">
1659<td class="xl67" height="17"><span style="color: blue;">&nbsp;&nbsp; </span><a href="https://www.swjpcc.com/news/2024/3/3/nurses-launch-billboard-campaign-against-renewal-of-desert-r.html"><span style="color: blue;">Medical Center Lease</span></a></td>
1660</tr>
1661<tr height="17">
1662<td class="xl67" height="17"><a href="https://www.swjpcc.com/news/2024/2/27/1-billion-donation-eliminates-tuition-at-albert-einstein-med.html"><span style="color: blue;">$1 Billion Donation Eliminates Tuition at Albert Einstein   Medical&nbsp;
1662School</span></a></td>
1663</tr>
1664<tr height="17">
1665<td class="xl67" height="17"><a href="https://www.swjpcc.com/news/2023/7/8/kern-county-hospital-authority-accused-of-overpaying-for-exe.html"><span style="color: blue;">Kern County Hospital Authority Accused of Overpaying for   Executive</span></a></td>
1666</tr>
1667<tr height="17">
1668<td class="xl67" height="17"><span style="color: blue;">&nbsp;&nbsp; </span><a href="https://www.swjpcc.com/news/2023/7/8/kern-county-hospital-authority-accused-of-overpaying-for-exe.html"><span style="color: blue;">Services</span></a></td>
1669</tr>
1670<tr height="17">
1671<td class="xl67" height="17"><a href="https://www.swjpcc.com/news/2023/4/3/swjpccs-associate-editor-has-essay-on-reining-in-air-polluti.html"><span style="color: blue;">SWJPCCS Associate Editor has Essay on Reining in Air   Pollution Published</span></a></td>
1672</tr>
1673<tr height="17">
1674<td class="xl67" height="17"><span style="color: blue;">&nbsp;&nbsp; </span><a href="https://www.swjpcc.com/news/2023/4/3/swjpccs-associate-editor-has-essay-on-reining-in-air-polluti.html"><span style="color: blue;">in NY Times</span></a></td>
1675</tr>
1676<tr height="17">
1677<td class="xl67" height="17"><a href="https://www.swjpcc.com/news/2022/11/21/amazon-launches-new-messaged-based-virtual-healthcare-servic.html"><span style="color: blue;">Amazon Launches New Messaged-Based Virtual   Healthcare&nbsp;Service</span></a></td>
1678</tr>
1679<tr height="17">
1680<td class="xl68" width="466" height="17"><a href="https://www.swjpcc.com/news/2022/10/30/hospitals-say-they-lose-money-on-medicare-patients-but-make.html"><span style="color: blue;">Hospitals Say They Lose Money on Medicare Patients but   Make&nbsp;Millions</span></a></td>
1681</tr>
1682<tr height="17">
1683<td class="xl67" height="17"><a href="https://www.swjpcc.com/news/2022/1/27/trust-in-science-now-deeply-polarized.html"><span style="color: blue;">Trust in Science Now Deeply&nbsp;Polarized</span></a></td>
1684</tr>
1685<tr height="17">
1686<td class="xl68" width="466" height="17"><a href="https://www.swjpcc.com/news/2021/10/25/swjpcc-associate-editor-featured-in-albuquerque-journal.html"><span style="color: blue;">SWJPCC Associate Editor Featured in   Albuquerque&nbsp;Journal</span></a></td>
1687</tr>
1688<tr height="17">
1689<td class="xl66" height="17"><a href="https://www.swjpcc.com/news/2020/8/18/poisoning-by-hand-sanitizers.html"><span style="color: blue;">Poisoning by Hand&nbsp;Sanitizers</span></a></td>
1690</tr>
1691<tr height="17">
1692<td class="xl66" height="17"><a href="https://www.swjpcc.com/news/2020/4/21/healthcare-layoffs-during-the-covid-19-pandemic.html"><span style="color: blue;">Healthcare Layoffs During the COVID-19&nbsp;Pandemic</span></a></td>
1693</tr>
1694<tr height="17">
1695<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2020/2/4/practice-fusion-admits-to-opioid-kickback-scheme.html"><span style="color: blue;">Practice Fusion Admits to Opioid Kickback&nbsp;Scheme</span></a></td>
1696</tr>
1697<tr height="17">
1698<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2019/12/9/arizona-medical-schools-offer-free-tuition-for-primary-care.html"><span style="color: blue;">Arizona Medical Schools Offer Free Tuition for Primary   Care&nbsp;Commitment</span></a></td>
1699</tr>
1700<tr height="17">
1701<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2019/10/11/determining-if-drug-price-increases-are-justified.html"><span style="color: blue;">Determining if Drug Price Increases are&nbsp;Justified</span></a></td>
1702</tr>
1703<tr height="17">
1704<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2019/9/21/court-overturns-cms-site-neutral-payment-policy.html"><span style="color: blue;">Court Overturns CMS' Site-Neutral Payment&nbsp;Policy</span></a></td>
1705</tr>
1706<tr height="17">
1707<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2019/8/22/pulmonary-disease-linked-to-vaping.html"><span style="color: blue;">Pulmonary Disease Linked to&nbsp;Vaping</span></a></td>
1708</tr>
1709<tr height="17">
1710<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2019/8/19/ceo-compensation-one-reason-healthcare-costs-so-much.html"><span style="color: blue;">CEO Compensation-One Reason Healthcare Costs So&nbsp;Much</span></a></td>
1711</tr>
1712<tr height="17">
1713<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2019/7/20/doctor-or-money-shortage-in-california.html"><span style="color: blue;">Doctor or Money Shortage in&nbsp;California?</span></a></td>
1714</tr>
1715<tr height="17">
1716<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2019/3/7/fda-commissioner-gottlieb-resigns.html"><span style="color: blue;">FDA Commissioner Gottlieb&nbsp;Resigns</span></a></td>
1717</tr>
1718<tr height="17">
1719<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2019/3/4/physicians-generate-an-average-24-million-a-year-per-hospita.html"><span style="color: blue;">Physicians Generate an Average $2.4 Million a Year   Per&nbsp;Hospital</span></a></td>
1720</tr>
1721<tr height="17">
1722<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2019/1/14/drug-prices-continue-to-rise.html"><span style="color: blue;">
1722Drug Prices Continue to&nbsp;Rise</span></a></td>
1723</tr>
1724<tr height="17">
1725<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/11/13/new-center-for-physician-rights.html"><span style="color: blue;">New Center for Physician&nbsp;Rights</span></a></td>
1726</tr>
1727<tr height="17">
1728<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/11/5/cms-decreases-clinic-visit-payments-to-hospital-employed-phy.html"><span style="color: blue;">CMS Decreases Clinic Visit Payments to Hospital-Employed   Physicians</span></a></td>
1729</tr>
1730<tr height="17">
1731<td class="xl66" height="17"><span style="color: blue;">&nbsp;&nbsp; </span><a href="http://www.swjpcc.com/news/2018/11/5/cms-decreases-clinic-visit-payments-to-hospital-employed-phy.html"><span style="color: blue;">and Expands Decreases in Drug Payments 340B&nbsp;Cuts</span></a></td>
1732</tr>
1733<tr height="17">
1734<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/10/24/big-pharma-gives-millions-to-congress.html"><span style="color: blue;">Big Pharma Gives Millions to&nbsp;Congress</span></a></td>
1735</tr>
1736<tr height="17">
1737<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/6/16/gilbert-hospital-and-florence-hospital-at-anthem-closed.html"><span style="color: blue;">Gilbert Hospital and Florence Hospital at   Anthem&nbsp;Closed</span></a></td>
1738</tr>
1739<tr height="17">
1740<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/6/15/cms-star-ratings-miscalculated.html"><span style="color: blue;">CMS&rsquo; Star Ratings&nbsp;Miscalculated</span></a></td>
1741</tr>
1742<tr height="17">
1743<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/2/15/va-announces-aggressive-new-approach-to-produce-rapid-improv.html"><span style="color: blue;">VA Announces Aggressive New Approach to Produce Rapid   Improvements</span></a></td>
1744</tr>
1745<tr height="17">
1746<td class="xl66" height="17"><span style="color: blue;">&nbsp;&nbsp; </span><a href="http://www.swjpcc.com/news/2018/2/15/va-announces-aggressive-new-approach-to-produce-rapid-improv.html"><span style="color: blue;">in VA Medical&nbsp;Centers</span></a></td>
1747</tr>
1748<tr height="17">
1749<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/2/13/healthcare-payments-under-the-budget-deal-mostly-good-news-f.html"><span style="color: blue;">Healthcare Payments Under the Budget Deal: Mostly Good   News</span></a></td>
1750</tr>
1751<tr height="17">
1752<td class="xl66" height="17"><span style="color: blue;">&nbsp;&nbsp; </span><a href="http://www.swjpcc.com/news/2018/2/13/healthcare-payments-under-the-budget-deal-mostly-good-news-f.html"><span style="color: blue;">for&nbsp;Physicians</span></a></td>
1753</tr>
1754<tr height="17">
1755<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/1/19/hospitals-plan-to-start-their-own-generic-drug-company.html"><span style="color: blue;">Hospitals Plan to Start Their Own Generic   Drug&nbsp;Company</span></a></td>
1756</tr>
1757<tr height="17">
1758<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/1/15/flu-season-and-trehalose.html"><span style="color: blue;">Flu Season and&nbsp;Trehalose</span></a></td>
1759</tr>
1760<tr height="17">
1761<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/1/13/medpac-votes-to-scrap-mips.html"><span style="color: blue;">MedPAC Votes to Scrap&nbsp;MIPS</span></a></td>
1762</tr>
1763<tr height="17">
1764<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/1/11/cms-announces-new-payment-model.html"><span style="color: blue;">CMS Announces New Payment&nbsp;Model</span></a></td>
1765</tr>
1766<tr height="17">
1767<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2018/1/3/varenicline-chantix-associated-with-increased-cardiovascular.html"><span style="color: blue;">Varenicline (Chantix&reg;) Associated with Increased   Cardiovascular&nbsp;Events</span></a></td>
1768</tr>
1769<tr height="17">
1770<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/12/13/tax-cuts-could-threaten-physicians.html"><span style="color: blue;">Tax Cuts Could Threaten&nbsp;Physicians</span></a></td>
1771</tr>
1772<tr height="17">
1773<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/11/14/trump-nominates-former-pharmaceutical-executive-as-hhs-secre.html"><span style="color: blue;">Trump Nominates Former Pharmaceutical Executive as   HHS&nbsp;Secretary</span></a></td>
1774</tr>
1775<tr height="17">
1776<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/10/29/arizona-averages-over-25-opioid-overdoses-per-day.html"><span style="color: blue;">Arizona Averages Over 25 Opioid Overdoses Per&nbsp;Day</span></a></td>
1777</tr>
1778<tr height="17">
1779<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/10/19/maryvale-hospital-to-close.html"><span style="color: blue;">Maryvale Hospital to&nbsp;Close</span></a></td>
1780</tr>
1781<tr height="17">
1782<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/10/10/california-enacts-drug-pricing-transparency-bill.html"><span style="color: blue;">California Enacts Drug Pricing Transparency&nbsp;Bill</span></a></td>
1783</tr>
1784<tr height="17">
1785<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/7/18/senate-health-bill-lacks-50-votes-needed-to-proceed.html"><span style="color: blue;">Senate Health Bill Lacks 50 Votes Needed to&nbsp;Proceed</span></a></td>
1786</tr>
1787<tr height="17">
1788<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/7/14/medi-cal-blamed-for-poor-care-in-lawsuit.html"><span style="color: blue;">
1788Medi-Cal Blamed for Poor Care in&nbsp;Lawsuit</span></a></td>
1789</tr>
1790<tr height="17">
1791<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/7/13/senate-republican-leadership-releases-revised-aca-repeal-and.html"><span style="color: blue;">Senate Republican Leadership Releases Revised ACA Repeal   and Replace&nbsp;Bill</span></a></td>
1792</tr>
1793<tr height="17">
1794<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/6/27/mortality-rate-will-likely-increase-under-senate-healthcare.html"><span style="color: blue;">Mortality Rate Will Likely Increase Under Senate   Healthcare&nbsp;Bill</span></a></td>
1795</tr>
1796<tr height="17">
1797<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/6/15/university-of-arizona-phoenix-receives-full-accreditation.html"><span style="color: blue;">University of Arizona-Phoenix Receives   Full&nbsp;Accreditation</span></a></td>
1798</tr>
1799<tr height="17">
1800<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/6/12/limited-choice-of-obamacare-insurers-in-some-parts-of-the-so.html"><span style="color: blue;">Limited Choice of Obamacare Insurers in Some Parts of   the&nbsp;Southwest</span></a></td>
1801</tr>
1802<tr height="17">
1803<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/4/14/gottlieb-the-fda-and-dumbing-down-medicine.html"><span style="color: blue;">Gottlieb, the FDA and Dumbing Down&nbsp;Medicine</span></a></td>
1804</tr>
1805<tr height="17">
1806<td class="xl66" height="17"><a href="http://www.swjpcc.com/news/2017/2/10/salary-surveys-report-declines-in-pulmonologist-allergist-an.html"><span style="color: blue;">Salary Surveys Report Declines in Pulmonologist, Allergist   and Nurse&nbsp;</span></a></td>
1807</tr>
1808<tr height="17">
1809<td class="xl66" height="17"><span style="color: blue;">&nbsp;&nbsp; </span><a href="http://www.swjpcc.com/news/2017/2/10/salary-surveys-report-declines-in-pulmonologist-allergist-an.html"><span style="color: blue;">Incomes</span></a></td>
1810</tr>
1811</tbody>
1812</table>
1813<p>&nbsp;</p>
1814<p><span>For complete news listings click <a href="/storage/manuscript-lists/postings-by-category/News%201-23-25.xlsx">here</a>. <strong><br /></strong></span></p>
1815<p><span>The&nbsp;<em>Southwest Journal of Pulmonary, Critical Care</em> <em>&amp; Sleep</em> periodically publishes news articles relevant to&nbsp; pulmonary, critical care or sleep medicine which are not covered by major medical journals.</span></p>
1816<p><span>---------------------------------------------------------------------------------------------</span></p> </div>
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1829<div class="journal-entry-wrapper post-text authored-by-ereece ">
1830<div id="item36487226" class="journal-entry">
1831
1832  <div class="journal-entry-float-day"><span class="name">Thursday</span></div><div class="journal-entry-float-date"><span class="month">Jan</span><span class="date">23</span><span class="year">2025</span></div>
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1843        <a class="journal-entry-navigation-current" href="/news/2025/1/23/trump-administration-assaults-nih-and-who-rfk-jrs-nomination.html">Trump Administration Assaults NIH and WHO-RFK Jr’s Nomination Hearing&nbsp;Scheduled</a>  
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1848      
1849       <div class="journal-entry-tag journal-entry-tag-post-title"><span class="posted-on">   <img title="Date" alt="Date" class="inline-icon date-icon" rel="dark" src="/universal/images/transparent.png" />Thursday, January 23, 2025 at 11:32AM</span> </div> 
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1854      <div class="body">
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1856        
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1859          <p>Given all the commotion that has been occurring in Washington over the Gaetz and Hegseth nominations, preparations for mass deportation, birthright citizenship, and government DEI programs, several healthcare news stories have flown under the radar. Below is a summary.</p>
1860<p>Science is reporting that yesterday the Trump administration imposed several restrictions on the National Institutes of Health (NIH) which will have an impact on grants and scientific exchange (1). These included the abrupt cancellation of meetings including grant review panels, communications &ldquo;pause&rdquo;, a freeze on hiring, and an indefinite ban on travel. The moves have generated extensive confusion and uncertainty at the nation&rsquo;s largest research agency, which has become a target for Trump&rsquo;s political allies. For example, officials halted midstream a training workshop for junior scientists, called off a workshop on adolescent learning minutes before it was to begin, and canceled meetings of two advisory councils. Panels that were scheduled to review grant proposals also received eleventh-hour word that they wouldn&rsquo;t be meeting. Without such meetings, NIH cannot make research awards.</p>
1861<p>The hiring freeze is governmentwide, whereas a pause on communications and travel appears to be limited to the Department of Health and Human Services (HHS), NIH&rsquo;s parent agency. Such pauses are not unprecedented when a new administration comes in. But some NIH staff suggested these measures, which include pulling job ads and rescinding offers, are more extreme than any previously.</p>
1862<p>HHS announced a communications ban through 1 February. It orders a stop on the publishing of regulations, guidance documents, grant announcements, social media posts, press releases, and other &ldquo;communications,&rdquo; and the canceling of speaking engagements. Any exceptions must be applied for and approved through the president&rsquo;s appointees.</p>
1863<p>The various directives have shaken the vast community of extramural scientists NIH supports. &ldquo;[We] have not seen anything concrete from NIH yet,&rdquo; said one scientist at a major academic medical center. &ldquo;But just like about everyone in science, we are worried and waiting.&rdquo;</p>
1864<p>The fears of many in global health also came true. Within hours of taking the oath of office, President Trump signed an executive order announcing his decision to withdraw the United States from the World Health Organization (WHO) (2). The executive order also directs the Secretary of State to &ldquo;cease negotiations&rdquo; on the WHO Pandemic Agreement, an international treaty to better prepare the world for future pandemics, which has been in difficult negotiations for years. Ironically there&rsquo;s a chance Trump may have inadvertently helped those negotiations: &ldquo;Ironically [the treaty] might have a better chance without the U.S., as countries may unite in opposition to Trump and all he stands for.&rdquo;</p>
1865<p>In October 2020, the New England Journal of Medicine, in an editorial signed by 34 editors, denounced the Trump administration's handling of the COVID-19 pandemic (3). The article marked the first time in the medical journal's 200-year history that it had condemned or supported any political candidate. In the editorial, the journal strongly criticized the Trump administration's rejection of scientific expertise; its attempts to politicize and undermine the FDA, NIH, and CDC; and its decision "to ignore and even denigrate experts" within government institutions.</p>
1866<p>&ldquo;I&rsquo;m struck by just how silly and petty this is,&rdquo; says Refugees International President Jeremy Konyndyk, an expert on battling disease emergencie
1866s who serves as a high-level adviser to WHO (2). Trump previously tried to pull the U.S. out of WHO in 2020 &ldquo;because he needed a scapegoat for his own failings on COVID-19&rdquo; and apparently hasn&rsquo;t gotten over his grudge against the agency, Konyndyk says. &ldquo;It&rsquo;s not the way a nation that considers itself a great power should behave.&rdquo;</p>
1867<p>After weeks of watching his fellow nominees advance to hearings and votes, Robert F. Kennedy Jr. will finally get his moment in the Capitol spotlight as he faces his long-awaited Senate confirmation hearing (4). Kennedy&rsquo;s hearing to lead the Department of Health and Human Services is scheduled for Jan. 29 at 10 a.m. He will face questions from members of the Senate Finance Committee, which directly oversees the department.</p>
1868<p>During his first term as president, Donald Trump and his administration repeatedly politicized science by pressuring or overriding health and science agencies to change their reporting and recommendations so as to conform to his policies and public comments (5). This was particularly true with regard to the COVID-19 pandemic. The recent NIH and WHO decisions and RFK Jr&rsquo;s nomination appear to represent little more than political payback to the medical and scientific communities.</p>
1869<p><strong><em>Richard A. Robbins MD</em></strong></p>
1870<p>Editor, SWJPCCS</p>
1871<p style="text-align: center;"><strong><em>References</em></strong></p>
1872<ol>
1873<li>Wadman M, Kaiser J. Trump hits NIH with &lsquo;devastating&rsquo; freezes on meetings, travel, communications, and hiring. Science. January 22, 2025. Available at: <a href="https://www.science.org/content/article/trump-hits-nih-devastating-freezes-meetings-travel-communications-and-hiring">https://www.science.org/content/article/trump-hits-nih-devastating-freezes-meetings-travel-communications-and-hiring</a> (accessed 1/22/25).</li>
1874<li> Vogel G. &lsquo;Cataclysmic&rsquo;: Trump&rsquo;s decision to leave WHO causes uproar among global health experts. Science. January 21, 2025. Available at: <a href="https://www.science.org/content/article/cataclysmic-trump-s-decision-leave-who-causes-uproar-among-global-health-experts">https://www.science.org/content/article/cataclysmic-trump-s-decision-leave-who-causes-uproar-among-global-health-experts</a> (accessed 1/22/25).</li>
1875<li> Editors. Dying in a Leadership Vacuum. N Engl J Med. 2020 Oct 8;383(15):1479-1480. <a href="https://doi.org/10.1056/NEJMe2029812">[CrossRef]</a> <a href="https://pubmed.ncbi.nlm.nih.gov/33027574/">[PubMed]</a></li>
1876<li> Aneeta Mathur-Ashton A. RFK Jr. Finally Got a Confirmation Hearing. What Comes Next? US News &amp; World Report. Jan. 23, 2025. Available at: <a href="https://www.usnews.com/news/national-news/articles/2025-01-23/why-did-it-take-so-long-for-robert-f-kennedy-jr-to-get-a-confirmation-hearing">https://www.usnews.com/news/national-news/articles/2025-01-23/why-did-it-take-so-long-for-robert-f-kennedy-jr-to-get-a-confirmation-hearing</a> (accessed 1/23/25).</li>
1877<li> Plumer B, Davenport C. Science Under Attack: How Trump Is Sidelining Researchers and Their Work. New York Times. Dec. 28, 2019. Available at: <a href="https://web.archive.org/web/20210215173844/https:/www.nytimes.com/2019/12/28/climate/trump-administration-war-on-science.html">https://web.archive.org/web/20210215173844/https://www.nytimes.com/2019/12/28/climate/trump-administration-war-on-science.html</a> (accessed 1/23/25). </li>
1878</ol>
1879<div>Cite as: Robbins RA. Trump Administration Assaults NIH and WHO-RFK Jr&rsquo;s Nomination Hearing Scheduled. Southwest J Pulm Crit Care Sleep. 2025;30(1):11-13. doi: <a href="https://doi.org/10.13175/swjpccs004-25">https://doi.org/10.13175/swjpccs004-25</a> <a href="/storage/manuscripts/volume-30/issue-1-jan-2025/004-25/004-25.pdf">PDF</a></div>
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1894 <img title="Share Article" alt="Share Article" class="inline-icon share-icon" rel="dark" src="/universal/images/transparent.png" />Share Article </a></span> </div>
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1925        <a class="journal-entry-navigation-current" href="/news/2024/7/12/cms-proposes-increased-reimbursement-for-hospitals-but-a-dec-1.html">CMS Proposes Increased Reimbursement for Hospitals but a Decrease for Physicians in&nbsp;2025</a>  
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1931       <div class="journal-entry-tag journal-entry-tag-post-title"><span class="posted-on">   <img title="Date" alt="Date" class="inline-icon date-icon" rel="dark" src="/universal/images/transparent.png" />Friday, July 12, 2024 at 8:00AM</span> </div> 
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1941          <p>The Centers for Medicare &amp; Medicaid Services (CMS) released its proposed changes to the fee schedule for 2025 on July 10. Hospital compensation will increase by 2.6% from 2024 for hospital outpatient services and 2.8% for inpatient services (1). In contrast, physician payment will <strong><span style="text-decoration: underline;">DECREASE</span> </strong>2.8% (2).<strong> </strong>This continues the trend in CMS reimbursement. Over the past 20 years, physician pay has plummeted by 26% when adjusted for inflation while hospital reimbursement has surged by 70% (3).</p>
1942<p>The proposal drew quick criticism from the American Medical Association (AMA) and the Medical Group Management Association (MGMA) (3). "With CMS estimating a fifth consecutive year of Medicare payment reductions &mdash; this time by 2.8 percent &mdash;&nbsp; it's evident that Congress must solve this problem," AMA President Bruce Scott, MD, said. "In addition to the cut, CMS predicts that the Medicare Economic Index &mdash; the measure of practice cost inflation &mdash; will increase by 3.6 percent. Facing this widening gap between what Medicare pays physicians and the cost of delivering quality care to patients, physicians are urging Congress to pass a reform package that would permanently strengthen Medicare." MGMA's Senior Vice President of Government Affairs, Anders Gilberg, said the 2.8% reduction to the conversion factor would be alarming in the best circumstances, but to propose doing so at a time when 92% of medical groups report increased operating costs and are otherwise struggling to remain financially viable is critically short-sighted. Gilberg added "Medicare physician reimbursement is on a dire trajectory and these ongoing cuts continue to undermine the ability of medical practices to keep their doors open and function effectively &mdash; the need for comprehensive reform is paramount".</p>
1943<p>Over the time period of decreasing physician reimbursement, there has been a dramatic change in physician employment. Now 77% of physicians are employed, a dramatic increase from 26% only 10 years ago (5). The reason most often cited has been declining reimbursement. Although cost containment is often cited as a reason for the decline in physician payments. It should be apparent that CMS&rsquo; &ldquo;cost containments&rdquo; have done little to stem the rising costs of healthcare (6). &nbsp;Some have associated increasing physician employment for decreasing access and quality of care (4,7).</p>
1944<p>A recent comment from George Parides asserts &ldquo;what is happening now is what the government, Centers for Medicare and Medicaid Services (CMS) and all hospital systems want to happen. They want full, and I mean FULL control of all physicians &hellip;&rdquo; (8). Nothing has really changed with the proposed changes in fee schedules. The trend of healthcare away from a charitable, not-for-profit 501c to a not-for-profit in name only business focused on revenue and profits continues (7).&nbsp;</p>
1945<p><strong><em>Richard A. Robbins MD</em></strong></p>
1946<p><strong><em>Editor, SWJPCC</em></strong></p>
1947<p style="text-align: center;"><strong><em>References</em></strong></p>
1948<ol>
1949<li>CMS. CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory 
1949Surgical Center Payment System Proposed Rule (CMS 1809-P). July 10,2024. Available at: <a href="https://www.cms.gov/newsroom/fact-sheets/cy-2025-medicare-hospital-outpatient-prospective-payment-system-and-ambulatory-surgical-center">https://www.cms.gov/newsroom/fact-sheets/cy-2025-medicare-hospital-outpatient-prospective-payment-system-and-ambulatory-surgical-center</a> (accessed 7/11/2024).</li>
1950<li> CMS. Calendar Year (CY) 2025 Medicare Physician Fee Schedule Proposed Rule. July 10, 2024. <a href="https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2025-medicare-physician-fee-schedule-proposed-rule">https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2025-medicare-physician-fee-schedule-proposed-rule</a> (accessed 7/11/2024).</li>
1951<li> Cass A. CMS pitches 2.8% physician payment cut for 2025. Medscape. July 10, 2024. Available at: <a href="https://www.beckershospitalreview.com/finance/cms-pitches-2-8-physician-payment-cut-for-2025.html?origin=BHRE&amp;utm_source=BHRE&amp;utm_medium=email&amp;utm_content=newsletter&amp;oly_enc_id=6133H6750001J5K">https://www.beckershospitalreview.com/finance/cms-pitches-2-8-physician-payment-cut-for-2025.html?origin=BHRE&amp;utm_source=BHRE&amp;utm_medium=email&amp;utm_content=newsletter&amp;oly_enc_id=6133H6750001J5K</a> (accessed 7/11/24).</li>
1952<li> G Grossi. Dr David Eagle: CMS Reimbursement Cuts Encourage Trend of Independent Physician Exodus. American Journal of Managed Care. Feb 12, 2024. Available at: <a href="https://www.ajmc.com/view/dr-david-eagle-cms-reimbursement-cuts-encourage-trend-of-independent-physician-exodus">https://www.ajmc.com/view/dr-david-eagle-cms-reimbursement-cuts-encourage-trend-of-independent-physician-exodus</a> (accessed 7/11/24).</li>
1953<li> Physicians Advocacy Institute. Updated Report: Hospital and Corporate Acquisition of Physician Practices and Physician Employment 2019-2023. April 2024. Available at: <a href="https://www.physiciansadvocacyinstitute.org/Portals/0/assets/docs/PAI-Research/PAI-Avalere%20Physician%20Employment%20Trends%20Study%202019-2023%20Final.pdf?ver=uGHF46u1GSeZgYXMKFyYvw%3d%3d">https://www.physiciansadvocacyinstitute.org/Portals/0/assets/docs/PAI-Research/PAI-Avalere%20Physician%20Employment%20Trends%20Study%202019-2023%20Final.pdf?ver=uGHF46u1GSeZgYXMKFyYvw%3d%3d</a> (accessed 7/11/24).</li>
1954<li> McGough M, Winger A, Rakshit S, Amin K. How has U.S. spending on healthcare changed over time? Peterson-KFF Health System Tracker. December 15, 2023. Available at: <a href="https://www.healthsystemtracker.org/chart-collection/u-s-spending-healthcare-changed-time/#Total%20national%20health%20expenditures,%20US%20$%20Billions,%201970-2022">https://www.healthsystemtracker.org/chart-collection/u-s-spending-healthcare-changed-time/#Total%20national%20health%20expenditures,%20US%20$%20Billions,%201970-2022</a> (accessed 7/11/24).</li>
1955<li> Robbins RA. A Call for Change in Healthcare Governance. Southwest J Pulm Crit Care Sleep. 2024;28(6):91-93. <a href="https://doi.org/10.13175/swjpccs028-24">[CrossRef]</a></li>
1956<li> Parides GC. Only a Snowball&rsquo;s Chance in Hell: Comment on A Call for Change in Healthcare Governance. Southwest J Pulm Crit Care Sleep. 2024;28(6):94. <a href="https://doi.org/10.13175/swjpccs029-24">[CrossRef]</a></li>
1957</ol>
1958<div>Cite as: Robbins RA. CMS Proposes Increased Reimbursement for Hospitals but a Decrease for Physicians in 2025. Southwest J Pulm Crit Care Sleep. 2024;29(1):8-9. doi: <a href="https://doi.org/10.13175/swjpccs033-24">https://doi.org/10.13175/swjpccs033-24</a> <a href="/storage/manuscripts/volume-29/issue-1-july-2024/033-24/033-24.pdf">PDF</a></div>
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1973      <div class="journal-entry-tag-post-body-line1"><span class="posted-by">  <a href="/news/author/ereece"> <img title="Author" alt="Author" class="inline-icon user-registered-icon" rel="dark" src="/universal/images/transparent.png" />Rick Robbins, M.D.</a></span> |  <span class="post-comments">
1973<a href="/news/2024/7/12/cms-proposes-increased-reimbursement-for-hospitals-but-a-dec-1.html#comments"> <img title="Comment" alt="Comment" class="inline-icon comment-icon" rel="dark" src="/universal/images/transparent.png" />Post a Comment</a></span> |  <span class="share-item"><a href="javascript:noop();" onclick="Squarespace.Interaction.shareLink(this,'%2Fnews%2F2024%2F7%2F12%2Fcms-proposes-increased-reimbursement-for-hospitals-but-a-dec-1.html','CMS%20Proposes%20Increased%20Reimbursement%20for%20Hospitals%20but%20a%20Decrease%20for%20Physicians%20in%202025');"> <img title="Share Article" alt="Share Article" class="inline-icon share-icon" rel="dark" src="/universal/images/transparent.png" />Share Article </a></span> </div>
1974      <div class="journal-entry-tag-post-body-line2"><span class="tagged-with">tagged <span class="tag-element"><a rel="tag" href="/news/tag/american-medical-association"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />American Medical Association</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/cms"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />CMS</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/centers-for-medicare-and-medicaid-servic"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />Centers for Medicare and Medicaid Services</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/medical-group-management-association"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />Medical Group Management Association</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/healthcare-access"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />healthcare access</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/hospital-payment"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />hospital payment</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/payment"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />payment</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/physician-employment"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />physician employment</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/physician-payment"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />physician payment</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/quality-of-care"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />quality of care</a></span></span>  </div>
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2004        <a class="journal-entry-navigation-current" href="/news/2024/6/10/california-bill-would-tighten-oversight-on-private-equity-ho.html">California Bill Would Tighten Oversight on Private Equity Hospital&nbsp;Purchases</a>  
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2010       <div class="journal-entry-tag journal-entry-tag-post-title"><span class="posted-on">   <img title="Date" alt="Date" class="inline-icon date-icon" rel="dark" src="/universal/images/transparent.png" />Monday, June 10, 2024 at 3:01PM</span> </div> 
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2020          <p>According to Medscape California lawmakers are considering a bill that would tighten oversight of private equity and hedge fund buyers of hospitals and healthcare facilities (1). Private equity investment in hospitals and physician groups has been under scrutiny in recent months after a slew of high-profile failures, including bankruptcies and hospital closures. California lawmakers have drafted a bill that would require private equity firms and hedge funds to give the state attorney general written notice before purchasing a healthcare facility or provider group. The attorney general would have to approve the transaction. Buyers would also be required to submit written notice to any federal or state agency as required by law within 90 days of the transaction, and the attorney general could extend that period. The bill gives the attorney general the power to halt an acquisition if there is a "substantial likelihood of anticompetitive effects" or if it would affect access of healthcare services delivered to the community.</p>
2021<p>Physician groups would also be affected by the bill; private equity groups or hedge funds would be prohibited from controlling the practice and the practice physicians would not be able to sign a deal with an entity partially or wholly directed by a private equity group or hedge fund if those firms provide other services to the physicians for a fee.</p>
2022<p><strong>Richard A. Robbins MD</strong></p>
2023<p><strong>Editor, SWJPCCS</strong></p>
2024<p style="text-align: center;"><strong><em>Reference</em></strong></p>
2025<ol>
2026<li>Dyrda L. California Bill Would Tighten Oversight on Private Equity Hospital Purchases. Medscape. June 10, 2024. Available at: <a href="https://www.be
2026ckershospitalreview.com/finance/california-bill-would-tighten-oversight-on-private-equity-hospital-purchases.html#:~:text=California%20lawmakers%20have%20drafted%20a,have%20to%20approve%20the%20transaction">https://www.beckershospitalreview.com/finance/california-bill-would-tighten-oversight-on-private-equity-hospital-purchases.html#:~:text=California%20lawmakers%20have%20drafted%20a,have%20to%20approve%20the%20transaction</a> (accessed 6/10/24).</li>
2027</ol>
2028<div>Cite as: Robbins RA. California Bill Would Tighten Oversight on Private Equity Hospital Purchases. Southwest J Pulm Crit Care Sleep. 2024;28(6):90. doi: <a href="https://doi.org/10.13175/swjpccs026-24">https://doi.org/10.13175/swjpccs026-24</a> <a href="/storage/manuscripts/volume-28/issue-6-june-2024/026-24/026-24.pdf">PDF</a></div>
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2044      <div class="journal-entry-tag-post-body-line2"><span class="tagged-with">tagged <span class="tag-element"><a rel="tag" href="/news/tag/anticompetitive"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />anticompetitive</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/attorney-general"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />attorney general</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/bankruptcy"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />bankruptcy</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/healthcare-access"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />healthcare access</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/healthcare-facility-failure"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />healthcare facility failure</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/hedge-funds"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />hedge funds</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/hospital-closure"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />hospital closure</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/hospital-ownership"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />hospital ownership</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/physician-groups"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />physician groups</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/private-equity"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />private equity</a></span></span>  </div>
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2074        <a class="journal-entry-navigation-current" href="/news/2024/5/11/private-equity-backed-steward-healthcare-files-for-bankruptc.html">Private Equity-Backed Steward Healthcare Files for&nbsp;Bankruptcy</a>  
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2080       <div class="journal-entry-tag journal-entry-tag-post-title"><span class="posted-on">   <img title="Date" alt="Date" class="inline-icon date-icon" rel="dark" src="/universal/images/transparent.png" />Saturday, May 11, 2024 at 8:41AM</span> </div> 
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2090          <p>Arizona Attorney General Kris Mayes (1) has&nbsp;launched&nbsp;an investigation into what led to Dallas-based Steward Health Care&nbsp;filing&nbsp;for Chapter 11 bankruptcy protection on May 6. The health system also recently&nbsp;shared that it is $9 billion in debt and has plans to sell all 31 of its hospitals, four of which are in Arizona and have a proposed auction date of June 28, according to a May 10 news release from Ms. Mayes (1).&nbsp;</p>
2091<p>Steward relied on backing from private equity investors to quickly acquire dozens of community hospitals, including facilities in Massachusetts, Texas, Florida, and Arizona. Steward has been the focus of a year-and-a-half-long CBS News investigation revealing how private equity investors have siphoned hundreds of millions of dollars from community hospitals with devastating public health consequences (2). Records reviewed by CBS News showed Steward hospitals around the country left a trail of unpaid bills, at times risking a shortage of potentially lifesaving supplies.</p>
2092<p>Steward's Arizona hospitals include: Florence (Ariz.) Hospital, Mountain Vista Medical Center in Mesa, Ariz., St. Luke's Behavioral Health Center in Phoenix, and Tempe (Ariz.) St. Luke's Hospital.&nbsp;Along with the hospitals, Steward also operates multiple medical practices across the state.&nbsp;</p>
2093<p>&ldquo;Arizonans deserve to know more about the circumstances that led to Steward's bankruptcy filing," Ms. Mayes said in the release (1). "I am deeply concerned about the potential impact this could have on Arizona patients and medical providers. No matter who ultimately ends up owning and operating these facilities, I am committed to ensuring that no Arizonan is harmed by this bankruptcy, and I will fight to ensure that these hospitals remain open at all times to care for patients without any degradation of service."</p>
2094<p><strong><em>Richard A. Robbins MD</em></strong></p>
2095<p><strong><em>Editor, SWJPCCS</em></strong></p>
2096<p style="text-align: center;"><strong><em>References</em></strong></p>
2097<ol>
2098<li>
2098Arizona Attorney General. Attorney General Mayes Announces Investigation into Steward Health Care&rsquo;s Bankruptcy. May 10, 2024. Available at: <a href="https://www.azag.gov/press-release/attorney-general-mayes-announces-investigation-steward-health-cares-bankruptcy"><span style="color: #0563c1;">https://www.azag.gov/press-release/attorney-general-mayes-announces-investigation-steward-health-cares-bankruptcy</span></a> (accessed May 11, 2024).</li>
2099<li> Schooley M, Hager C, Kaplan M. Steward Health Care files for Chapter 11 bankruptcy. CBS Boston. May 7, 2024. Available at: <a href="https://www.cbsnews.com/boston/news/steward-health-care-bankruptcy/"><span style="color: #0563c1;">https://www.cbsnews.com/boston/news/steward-health-care-bankruptcy/</span></a> (accessed May 11, 2024).</li>
2100</ol>
2101<div>Cite as: Robbins RA. Private Equity-Backed Steward Healthcare Files for Bankruptcy. Southwest J Pulm Crit Care Sleep. 2024;28(5):71. doi: <a href="https://doi.org/10.13175/swjpccs021-24">https://doi.org/10.13175/swjpccs021-24</a> <a href="/storage/manuscripts/volume-28/issue-5-may-2024/021-24/021-24.pdf">PDF</a></div>
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2116      <div class="journal-entry-tag-post-body-line1"><span class="posted-by">  <a href="/news/author/ereece"> <img title="Author" alt="Author" class="inline-icon user-registered-icon" rel="dark" src="/universal/images/transparent.png" />Rick Robbins, M.D.</a></span> |  <span class="post-comments"><a href="/news/2024/5/11/private-equity-backed-steward-healthcare-files-for-bankruptc.html#comments"> <img title="Comment" alt="Comment" class="inline-icon comment-icon" rel="dark" src="/universal/images/transparent.png" />Post a Comment</a></span> |  <span class="share-item"><a href="javascript:noop();" onclick="Squarespace.Interaction.shareLink(this,'%2Fnews%2F2024%2F5%2F11%2Fprivate-equity-backed-steward-healthcare-files-for-bankruptc.html','Private%20Equity-Backed%20Steward%20Healthcare%20Files%20for%20Bankruptcy');"> <img title="Share Article" alt="Share Article" class="inline-icon share-icon" rel="dark" src="/universal/images/transparent.png" />Share Article </a></span> </div>
2117      <div class="journal-entry-tag-post-body-line2"><span class="tagged-with">tagged <span class="tag-element"><a rel="tag" href="/news/tag/forence-hospital"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />Forence Hospital</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/kris-mayes"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />Kris Mayes</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/mountain-vista-medical-center"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />Mountain Vista Medical Center</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/st-lukes-behavioral-health-center"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />St. Luke's Behavioral Health Center</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/st-lukes-hospital"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />St. Luke's Hospital</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/steward"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />Steward</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/steward-healthcare"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />Steward Healthcare</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/bankruptcy"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />bankruptcy</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/medical-practices"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />medical practices</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/private-equity"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />private equity</a></span></span>  </div>
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2136  <div class="journal-entry-float-day"><span class="name">Tuesday</span></div><div class="journal-entry-float-date"><span class="month">Mar</span><span class="date">05</span><span class="year">2024</span></div>
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2147        <a class="journal-entry-navigation-current" href="/news/2024/3/5/former-us-surgeon-general-criticizing-5000-emergency-room-bi.html">Former US Surgeon General Criticizing $5,000 Emergency Room&nbsp;Bill</a>  
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2153       <div class="journal-entry-tag journal-entry-tag-post-title"><span class="posted-on">   <img title="Date" alt="Date" class="inline-icon date-icon" rel="dark" src="/universal/images/transparent.png" />Tuesday, March 5, 2024 at 8:00AM</span> </div> 
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2163Business Insider is reporting that Dr. Jerome Adams, US surgeon general from 2017-2021, is complaining about the $5,000 bill after treatment at the Mayo Clinic Arizona emergency room (ER) for dehydration (1).</p>
2164<p style="text-align: center;"><span class="full-image-block ssNonEditable"><span><img style="width: 420px;" src="/storage/manuscripts/volume-28/issue-3-mar-2024/014-24/014-24%20Figure%201.jpg?__SQUARESPACE_CACHEVERSION=1709659790547" alt="" /></span></span>Figure 1. Dr. Jerome Adams former surgeon general of the United States and currently Director of Health Equity Initiatives at Purdue University.</p>
2165<p>Local media has been slow to pick up on this story with none of the local television, radio, or newspaper sources reporting on the former surgeon general&rsquo;s ER visit. Adams first shared his experience on X (formerly Twitter) in a post that went viral. In an interview conducted February 26 with Business Insider, Adams said he was taken by ambulance to the ER in January after becoming lightheaded while hiking. He had labs drawn, received 3 bags of intravenous fluid and was discharged. The shock came when he received the bill. He decided to fight and has been spending hours on the phone with hospital billing reps to get a clearer picture of why he was charged so much. The bill likely will climb higher since Adams has not been billed for the ambulance that took him to the ER. Adams said the experience has been "mentally taxing".</p>
2166<p>It's unclear why Adams' bill was so high since he said he had not received a breakdown of the charges. ER bills are notoriously expensive and can vary drastically from hospital to hospital. Adams said he was billed for a Level 5 visit, which is a code used for patients with the most complex and highest level of severity, such as chest pain or stroke symptoms. Level 5 visits fetch higher payments because they require more resources and time. Adams said he was fighting the bill because he believed his visit should have been coded at a lower level.</p>
2167<p>Another issue is that Adams is enrolled in a $7,500 deductible health plan. High-deductible plans have become more common as employers have shifted the cost of medical care to their workers. A survey by Kaiser Family Foundation (KFF) found the average annual deductible for individuals in one of these plans attached to a health savings account was $2,518 in 2023.</p>
2168<p>Adams said that with all these obstacles, it was no wonder many Americans ended up with medical debt. "If I'm in this situation with my knowledge and with my financial resources and with my bully pulpit, then the average Joe doesn't stand a chance. The system is just broken", Adams said. Medical debt is a widespread problem. An analysis by KFF and the Peterson Center on Healthcare reveals that 20 million people in the US owe medical debt, and 14 million people owe $1,000 or more. Research has shown that medical debt is a leading cause of personal bankruptcy (2).</p>
2169<p>Congress has provided some relief from unexpected medical bills. The No Surprises Act, which went into effect in 2022, is supposed to keep patients from getting stuck with a surprise bill if they inadvertently receive care from an out-of-network doctor but does not cover a situation similar to Adams&rsquo;. Adams said patients should have a better sense of what they'd be required to pay ahead of getting care and more clarity about their options when they get a big bill. He also said, &ldquo;patients shouldn't face drastically different costs for the same care at different facilities. People are so scared of these bills due to lack of transparency. They actually just don't go in at all until it truly does become an emergency. There are many flaws in the system that would've caused other individuals to have gone into debt, have their credit ruined, or have to make choices about things they needed to do. I've got three high schoolers, two kids heading to college. If I wasn't in my income bracket, I might be making a choice as to whether or not to pay my medical bill or to pay my kid's tuition&rdquo;.</p>
2170<p><strong><em>Richard A. Robbins MD</em></strong></p>
2171<p><em>Editor, SWJPCCS</em></p>
2172<p style="text-align: center;"><strong><em>References</em></strong></p>
2173<ol>
2174<li>Shelby Livingston S. A former US surgeon general says he went to the ER for dehydration and ended up with a $5,000 bill. He called the healthcare system 'broken.&r
2174squo; Business Insider. Feb 27, 2024. Available at: <a href="https://www.businessinsider.com/former-surgeon-general-medical-bill-shows-broken-healthcare-system-2024-2"><span style="color: #0563c1;">https://www.businessinsider.com/former-surgeon-general-medical-bill-shows-broken-healthcare-system-2024-2</span></a> (accessed 3/4/24).</li>
2175<li> Himmelstein DU, Warren E, Thorne D, Woolhandler S. Illness and injury as contributors to bankruptcy. Health Aff (Millwood). 2005 Jan-Jun;Suppl Web Exclusives:W5-63-W5-73. <a href="https://doi.org/10.1377/hlthaff.w5.63"><span style="color: #0563c1;">[CrossRef]</span></a> <a href="https://pubmed.ncbi.nlm.nih.gov/15689369/"><span style="color: #0563c1;">[PubMed]</span></a></li>
2176</ol>
2177<div>Cite as: Robbins RA. Former US Surgeon General Criticizing $5,000 Emergency Room Bill. Southwest J Pulm Crit Care Sleep. 2024;28(3):34-35. doi: <a href="https://doi.org/10.13175/swjpccs014-24">https://doi.org/10.13175/swjpccs014-24</a> <a href="/storage/manuscripts/volume-28/issue-3-mar-2024/014-24/014-24.pdf">PDF</a>&nbsp;</div>
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2192      <div class="journal-entry-tag-post-body-line1"><span class="posted-by">  <a href="/news/author/ereece"> <img title="Author" alt="Author" class="inline-icon user-registered-icon" rel="dark" src="/universal/images/transparent.png" />Rick Robbins, M.D.</a></span> |  <span class="post-comments"><a href="/news/2024/3/5/former-us-surgeon-general-criticizing-5000-emergency-room-bi.html#comments"> <img title="Comment" alt="Comment" class="inline-icon comment-icon" rel="dark" src="/universal/images/transparent.png" />Post a Comment</a></span> |  <span class="share-item"><a href="javascript:noop();" onclick="Squarespace.Interaction.shareLink(this,'%2Fnews%2F2024%2F3%2F5%2Fformer-us-surgeon-general-criticizing-5000-emergency-room-bi.html','Former%20US%20Surgeon%20General%20Criticizing%20%245%2C000%20Emergency%20Room%20Bill');"> <img title="Share Article" alt="Share Article" class="inline-icon share-icon" rel="dark" src="/universal/images/transparent.png" />Share Article </a></span> </div>
2193      <div class="journal-entry-tag-post-body-line2"><span class="tagged-with">tagged <span class="tag-element"><a rel="tag" href="/news/tag/jerome-adams"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />Jerome Adams</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/mayo-clinic-arizona"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />Mayo Clinic Arizona</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/billing"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />billing</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/dehydration"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />dehydration</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/emergency-room"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />emergency room</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/high-deductible"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />high deductible</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/level-5"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />level 5</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/medical-debt"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />medical debt</a></span>, <span class="tag-element"><a rel="tag" href="/news/tag/surgeon-general"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />surgeon general</a></span>, <span class="tag-element">
2193<a rel="tag" href="/news/tag/transparency"> <img title="Tag" alt="Tag" class="inline-icon tag-icon" rel="dark" src="/universal/images/transparent.png" />transparency</a></span></span>  </div>
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2271Southwest Journal of Pulmonary, Critical Care & Sleep © 2011 by Richard A Robbins MD is licensed under Creative Commons Attribution-ShareAlike 4.0 International 
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