The NYS Legislature has voted to require doctors to prescribe naloxone, an anti-overdose drug, for certain high-risk patients using opioids.

Has the state ever mandated doctors to prescribe a certain medication before? crainsnewyork.com/health-care/tw…
This seems to intrude on the doctor-patient relationship in a pretty fundamental way.
The Legislature describes a group of patients and orders doctors to give them a specific drug. No exceptions, no room for professional judgment.

How is that not practicing medicine? assembly.state.ny.us/leg/?default_f…

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More from @NYHammond

2 Jun
In more 3,200 pages of Fauci emails from January through June 2020, just released under FOIA, there is one reference to a communication between him and Gov. Cuomo ... buzzfeednews.com/article/natali…
On 3/4/20, Fauci wrote to a fellow NIH official:

"I received a text from Governor Cuomo of NY State and he wants me to come up to NYC for a Press Conference with his Health Commissioner, Howard Zuycker [sic]."

assets.documentcloud.org/documents/2079…
Fauci was copied on 4/6 and 4/8 emails about media strategy that listed Cuomo as one of several governors who might be helpful. assets.documentcloud.org/documents/2079…
Read 6 tweets
14 May
Catching up to this @GormleyAlbany story about vacancy rates in New York nursing homes, which are three times higher than normal -- and have barely budged since last May. newsday.com/news/region-st…
When I first looked at nursing home vacancy last June, it had soared to 21% from a typical level of 8%.
empirecenter.org/publications/n…
The share of empty nursing homes beds has stayed close to 21% ever since -- rising to a high of almost 24% in January.
Read 4 tweets
29 Apr
Lawmakers in Albany are again advancing the NY Health Act, which would abolish private health insurance and herd all NYers into a state-run “single payer” plan financed with massive tax hikes.

Here are 10 reasons why “Albanycare” is the wrong way to go.
empirecenter.org/publications/t…
#1: It’s a leap of faith
Instead of modeling their plan on an existing system, the authors propose a 100% tax-funded blanket health plan with no private alternatives allowed. Nothing quite like it has ever been tried before—in the U.S. or anywhere else.
#2: It’s unnecessarily disruptive
NY's uninsured population has dropped to a historic low of about 1M, many of whom are eligible for existing programs. The state could focus on covering that group without changing things for everyone else.
Read 12 tweets
17 Apr
.@GannettAlbany and @JonCampbellGAN report that Victoria Derbyshire, acting director of Wadsworth Labs at the NYS Health Department, is preparing to retire -- the latest in a string of high-level staff departures at DOH.
democratandchronicle.com/story/news/pol…
Even before the pandemic, the state's public health budget and staffing were in a decade-long decline. empirecenter.org/publications/n…
In the just-passed state budget, publicly reported funding for Wadsworth was sliced by another third. empirecenter.org/publications/n…
Read 5 tweets
9 Apr
A head-scratcher:

Even as Cuomo & the Legislature ramped up overall spending by 10%, they *cut* the operating allocation for NY's public health lab, the Wadsworth Center, by 1/3.
empirecenter.org/publications/n…
Wadsworth played a key role in the state's pandemic response, including quickly developing an alternative COVID test last February when the CDC's test failed. lohud.com/story/news/hea…
The budget reported includes $750 million in capital funding for a new Wadsworth facility in Albany. bizjournals.com/albany/news/20…
Read 4 tweets
6 Apr
The Health and Mental Hygiene budget bill has now passed both houses.

It isn't the last word, because more health-related stuff could and probably will pop up in the "big ugly," which is still to come.

Here are some highlights of what is public so far: (1/?)
Global cap: Despite repeal proposals, Gov. Cuomo's "global cap," limiting a portion of state Medicaid spending to medical inflation, is extended through March 2023. Monthly progress reports, which DOH has often skipped, are replaced by quarterly reports.
'Excess' malpractice coverage: State-funded supplemental malpractice insurance for physicians and dentists, which Cuomo had proposed to cut in half, is to continue without changes – effectively subsidizing a generally high-income group.
Read 10 tweets

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