Latest on Long COVID: NIH Study Leader Leora Horwitz, MD

One of the nation’s top experts on Long COVID explains that it’s still a mystery why virus symptoms remain months and sometimes years after an infection. Dr. Leora Horwitz helps lead the National Institute of Health’s study of Long COVID. She’s the director of the Center for Healthcare Innovation and Delivery Science at NYU Langone Health, where they’re integrating the research activities of almost 200 clinical sites.

She says they have found evidence of the virus persisting as well as inflammation or irritation in the bodies of some patients, which may be contributing to the condition.

Hosts Mark Masselli and Margaret Flinter also ask Dr. Horwitz to explain the new working definition of Long COVID, which is helping the medical community move beyond any one individual symptom to describe it.

HHS Sec. Becerra’s Exclusive Interview With “Conversations on Health Care”

U.S. Department of Health and Human Services Secretary Xavier Becerra joins “Conversations on Health Care” to answer questions about the big issues he’s facing as the nation’s top health official. Most importantly, he’s dealing with the aftermath of the Supreme Court decision turning abortion law over to the states.

Secretary Becerra says, “A woman is three times more likely to die of a complication during pregnancy if she happens to reside in a state that restricts her access to abortion care services. We are seeing women and their health harmed simply because of the politics in that state …we’re doing everything we can to continue to protect a woman’s right to access the care she needs including abortion care.”

Secretary Becerra leads a $1.7 trillion agency that’s also preparing for the fall vaccination season, ensuring Americans eligible for Medicaid stay enrolled, and planning for his department’s new power to negotiate for drug prices.

Hosts Mark Masselli and Margaret Flinter ask him to weigh in on all these issues in this week’s edition.

Tough, Feisty, Visionary: Mount Sinai’s CEO On Location at Aspen Ideas: Health

Dr. Kenneth Davis, CEO of Mount Sinai Health System in New York City, juggles a multitude of challenges operating one of the largest systems in the U.S. These include trying to overcome hurdles with a population health initiative as an alternative to the traditional fee-for-service insurance model and defending its Center for Transgender Medicine and Surgery. Dr. Davis also reflects on how he and his colleagues traversed the early COVID wave.

Hosts Mark Masselli and Margaret Flinter talked with Dr. Davis on location at Aspen Ideas: Health, a premier gathering of health care leaders and influencers.

Dr. Fauci Tells “Conversations on Health Care” On Location at Aspen Ideas: We Need More COVID Booster Shots

Dr. Anthony Fauci shared a sobering message with “Conversations on Health Care”: In the past year about 20% of Americans have received the COVID booster vaccine; “that’s not good if you really want to get a degree of immunity that you can lift up,” he says. Fauci explains that getting to 50% should be the goal.

“What we’re hoping is that people who come in with the uptake of a flu vaccine would also come in…at the same time, the same day…[get the] COVID [one]. The new vaccine is not going to be a bivalent, it’s going to be a monovalent Omicron derivative.” The fall 2023 COVID vaccine is currently awaiting FDA approval.

Fauci also reflected on the tense relationship between China and the United States. “The more we make accusations and the more we push against them, the more they pull back and in order to be able to have the kind of broad, global surveillance, global cooperation, global collaboration, you’ve got to have a relationship the way we had before COVID.” He also acknowledged that the Chinese have been very obtuse and secretive.

Fauci, speaking at Aspen Ideas: Health, harkened back to the bipartisan creation two decades ago of the President's Emergency Plan For AIDS Relief (PEPFAR), which is credited with saving 25 million lives in under-resourced countries.

Fauci also shared that he’s making progress on his memoir, with a manuscript due by the end of the year and an expected publish date by the first half of 2024.

He was interviewed by “Conversations on Health Care” hosts Mark Masselli and Margaret Flinter; they’re grateful to Aspen Ideas: Health leaders for inviting the program to hold one-on-one interviews during the gathering.

A Right to Health? The U.S. Legal Case for Making it Happen

Law professor and public policy advocate Christina S. Ho’s new book, “Normalizing an American Right to Health,” boldly makes the legal case for health as a right that should already exist in the United States. She explains why and unpacks how reinsurance and a Health Impact Assessment fit into her analysis.

Join hosts Mark Masselli and Margaret Flinter as she wonders why we can provide government subsidies for things like fracking, which has negative health effects, but avoid doing more to guarantee health for all. In addition, Ho answers critics who say access to care can’t be universal.

Roe Reversal: 1 Year Since Supreme Court Took Away Federal Right to Abortion

June 24 will mark the one-year anniversary since the U.S. Supreme Court issued its landmark ruling, taking away the constitutional right to abortion. That decision negated nearly five decades of legal precedent and pushed the abortion question to the 50 state legislatures. This week’s guests explain the effect of the ruling on women and maternal health in ways that are just now starting to be fully understood.

Dr. Herminia Palacio is president and CEO of the Guttmacher Institute, which seeks to expand reproductive rights and Robin Marty is director of operations at West Alabama Women's Center, which had to cease offering abortions nearly 12 months ago.

They join hosts Mark Masselli and Margaret Flinter to discuss how women are still getting abortions in restricted states, why states’ gestational limits for abortion are dangerous and the political challenges ahead.

The Doctor & ChatGPT Will See You Now: Is This the Future?

The World Health Organization recently issued a statement expressing concern about artificial intelligence in health care. Mayo Clinic’s Chief Information Officer Cris Ross, who’s been leading innovation projects for over 30 years, says “perhaps” we should be worried about ChatGPT.

“These technologies are value-neutral but their usage is not necessarily value-neutral. Bad people can use good technology for bad purposes. So I think there’s a very robust debate about whether these technologies should be regulated, whether they can be regulated, and if they are regulated, how we should do that,” says Ross.

Listen in as he takes hosts Mark Masselli and Margaret Flinter through this brave new world that promises to affect every part of health care.

The Expanding Obesity Revolution: New Options

As many Americans start the summer stressed about their physiques and health, there are important developments. Drug-makers report successful mid-stage trials for oral compounds that could soon join the injectable prescription medication to treat obesity that’s already on the market.

Dr. Jamy Ard, president-elect of The Obesity Society, says he believes oral obesity medications offer new options for those not comfortable with an injectable drug and for those who suffer adverse side effects from current offerings. He also believes more choices will lower prices for consumers.

“I think we’re at a watershed moment, this is really sort of an inflection point if you will, in thinking about the potential change in the landscape and how we conceptualize treatment of obesity. For the longest [time], a lot of the basic thinking about how we treat obesity was rooted in it was just a calorie imbalance…people were eating too much and exercising too little. As you know, that clearly has not worked,” says Dr. Ard.

He shares more insights on “Conversations on Health Care” with hosts Mark Masselli and Margaret Flinter.

Will Patients Listen If Health Care Providers Talk Climate Change?

Dr. Vivian Lee, an author and senior lecturer at Harvard Medical School, is impressed by a study that found a large majority of patients responded in a favorable way when a pediatrician shared climate change details during well-child visits.

She joins hosts Mark Masselli and Margaret Flinter to explain why we need health care providers and health systems to step up to do more about the undeniable risks from climate change. Listen in as they discuss her perspective and her book, “ The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone.”

Reaction to New CDC Ventilation Targets in Light of COVID

COVID Emergency Ends but Mental Health Issues Remain

Today, as the United States officially ends the COVID public health emergency, we know too many Americans continue to deal with the aftereffects of the pandemic, including mental health and substance abuse challenges.

Miriam Delphin-Rittmon, Ph.D., serves as Assistant Secretary for Mental Health and Substance Use for the U.S. Department of Health and Human Services.

She joins hosts Mark Masselli and Margaret Flinter to explain plans for dealing with the fact there are more Americans dying of drug overdoses now than at any time in modern history. Research also shows over 5 million Americans are struggling with an opioid addiction.

COVID Investigator Praises Community Health Workers: “Huge Innovation”

Philip Zelikow, co-author of the new book "Lessons from the COVID War,” has an important finding as the U.S. still grapples with the tough questions from the pandemic:

“We point out in the report that community health workers can play this extraordinary role…where we had them [during the pandemic], they were really effective and that’s like a huge innovation that should punch out to us as a lesson from this war and can have a dramatic effect in America,” says Zelikow.

He also explains to Mark Masselli and Margaret Flinter that “to this day, most patients who get COVID are not being properly treated with available medications.” Zelikow concludes a lack of preparedness is one of the main reasons the country performed so badly during the past three years.

Health Care Budget Fight: Hear Each Side’s Argument

Republicans in the U.S. House passed a deal that lifts the debt ceiling along with spending cuts aimed at the nation’s health care safety net.

Romina Boccia, Director of Budget and Entitlement Policy at the Cato Institute, supports the move. She says, “I do think there’s quite a bit of improper spending, waste for certain and things the federal government shouldn’t be involved with anymore, where members of Congress could cut.”

Jennifer Wagner, Director of Medicaid Eligibility and Enrollment with the Center on Budget and Policy Priorities, is a critic of the GOP actions. “These cuts would devastate these programs especially when you protect certain programs that have been taken off the table…that means cuts to other programs like Medicaid like SNAP would be absurdly large,” she explains.

Mark Masselli and Margaret Flinter give you the chance to hear both sides on this vitally important budget fight that will continue as President Biden and the Senate make the next moves.

Turning Off e-Cigarettes: Health Advocates Score a Victory

Anti-tobacco advocates just had another big win: New York, California, and several other states reached a settlement worth nearly $500 million against e-cigarette maker Juul Labs.

How can states use these funds for public health good? And how is the truth initiative helping to spread messages about the dangers of vaping?

Truth Initiative is America's largest nonprofit public health organization committed to making tobacco use and nicotine addiction a thing of the past. Experts credit it for helping significantly reduce teen cigarette use in the last 20 years.

Mark Masselli and Margaret Flinter discuss their approach with CEO and president Robin Koval. 

Abortion Rights Leader Rejects Calls to “Ignore” Judge’s Ruling

A federal judge’s decision to revoke the FDA’s approval of the abortion pill mifepristone has led some politicians to ask the Biden Administration not to enforce the ruling. Yet NARAL Pro-Choice America President Mini Timmaraju, who’s in close contact with the White House, tells “Conversations on Health Care” that’s not the right move. “I think calls for the FDA not to comply, while you know emotionally satisfying, are not actually helpful in a litigation strategy. And our goal is for the FDA and the DOJ to prevail in this case. The ruling…is riddled with serious disinformation.”

Timmaraju explains how the Supreme Court could hear the case by the end of this week and how this judge’s opinion could have an even bigger impact on the entire health care sector. Her interview with Mark Masselli and Margaret Flinter is online now.

Top Reporters on Big Health Care Stories Right Now

At a time of high misinformation and confusion, Americans need to count on journalists for getting the facts about the state of health care. Reporters are busy covering the top stories including the legal challenges to Affordable Care Act and medical abortion.

Join Mark Masselli and Margaret Flinter as they talk with three leading health care journalists: Amy Goldstein with The Washington Post; Joyce Frieden with MedPage Today; and Jessica Bartlett with The Boston Globe.

History-Making Incoming AMA President on His Vision

Dr. Jesse Ehrenfeld, the first openly gay person to be elected as president of the American Medical Association, joins hosts Mark Masselli and Margaret Flinter to discuss potential cuts to federal health care and the need for more diversity in the doctors’ ranks.

He also explains the organization’s “Recovery Plan for America’s Physicians” to address burnout among its nearly 300,000 physician members.

FDA Commissioner Dr. Robert Califf Discusses the Top News Stories

Dr. Robert Califf, commissioner of the U.S. Food & Drug Administration, discusses the promising research behind a new class of diabetes and obesity drugs that could improve tens of millions of lives in America impacted by the obesity epidemic.

He addresses the FDA's pending new tobacco control rules, as well as improvements to the infant formula pipeline in the wake of recent shortages. Dr. Califf also voices deep concerns that health misinformation is the 'leading cause of death in America now.'

$13K Per American for Health Care: What Are We Getting?

Each American now spends an average of nearly $13,000 a year on health care. We have one of the highest health care costs in the world but we don’t lead on the best outcomes. How can we get more value from the $4 trillion in total the U.S. spends on health care?

Dr. Margaret Hamburg is co-chair of the Health Affairs Council on Health Care Spending and Value, which has been looking at that question. Their recommendations range from administrative streamlining to spending growth targets.

Hosts Mark Masselli and Margaret Flinter have her unpack the report and ask this former U.S. Food & Drug Administration commissioner what bumps are ahead for what they call a “roadmap to value.”

Long COVID: Skeptics Are Wrong, Researchers Say

Yale University researcher Akiko Iwasaki, Ph.D., says immune profiling shows how Long COVID patients have distinct features not found in control groups. These patients, who also exhibit elevated levels of exhausted T-cells, cause her to express surprise at skeptics.

Iwasaki joins Fiona Lowenstein, editor of “The Long COVID Survival Guide,” to discuss patients who say they’re suffering from Long COVID for as much as two years after their acute phase of the disease.

Iwasaki also explains why her lab’s effort to move forward with a COVID nasal spray faces financial hurdles.

Listen in to this important conversation with hosts Mark Masselli and Margaret Flinter.