Key findings from KFF:

"...91% of Democrats, 85% of independents, and 76% of Republicans, as well as majorities of seniors (84%), who would be most affected by such a provision [favor drug price negotiations by Medicare prior to learning more]"
"...most (84%) of the public, including 3/4 (78%) of Republicans, say the argument in favor – “this is needed because Americans pay higher prices than people in other countries, many can’t afford their prescriptions, & drug company profits are too high” – is convincing."
"...a third (33%) say the argument against – “this would have the government too involved and will lead to fewer new drugs being available in the future” – is convincing. This includes nearly half (45%) of Republicans."
"...93%, including 90% of Republicans, say “that even if U.S. prices were lower, drug companies would still make enough money to invest in the research needed to develop new drugs”....
"...while just 6% say that “drug companies need to charge high prices in order to fund the innovative research necessary for developing new drugs.”

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More from @thehowie

20 Sep
I've been paying more attention to the histories on emergency department (ED) patients coming in w/ covid.

They are younger. They are almost exclusively unvaccinated (the ones that are vaccinated are generally much older and/or have immune suppression).
They convey fear, frustration, & anguish. Many have already been to the ED 1 or more times. Their symptoms are often constitutional (headaches, extreme fatigue, muscle aches).
In all my time in medicine, I have not seen lingering symptoms to this degree after a viral infection (caveat, AIDS). We see the occasional post-viral/post-flu pneumonia cases; & PCPs have seen many weakened or exhausted by bad flu; but numbers that present to the ED are large.
Read 6 tweets
9 Sep
Florida with 1,296 newly reported deaths today! (NOT a record, but likely muted by Labor Day Holiday).

Will continue in this thread with further points of note from this CDC report. Follow along if interested.
We have a new single day record for deaths (and this is far from a final number so expect it to be substantially higher when all deaths are reported)

330 on August 20th
I have expected that the peak would occur in the week following August 20th, so not only is 330 far from a complete figure but it will not be the final peak. Would now predict absolute peak >350 or so.
Read 5 tweets
1 Sep
The implications for this are vast & ANOTHER reason why we need timely, responsive clinical trials funded & supported by government. (cc:@ScottGottliebMD )

Bottom line: we don't know enough about protective immunity conferred by prior infection.

brief additional thoughts: Image
(And one could extend this to vaccinated individuals, but here we have clinical trials funded by the vaccine manufacturers that can answer most of these questions).
A LARGE percent of DOCUMENTED previously infected individuals do not have measurable antibodies. This does not mean they are not protected. But it sure raises questions.
Read 7 tweets
28 Aug
A lot of widely spread misinformation out there.

Here are facts as we know them today.

1. Vaccines reduce spread. Far less than we would have hoped but still substantially. They are still EXTREMELY effective against severe illness & death.
2. Vaccinated individuals do NOT spread more than unvaccinated individuals.

3. The CDC director does NOT believe that vaccines do not reduce transmission.
4. Ivermectin works well for strongyloidiasis & onchocerciasis. It has no proven use in preventing or treating COVID. In some forms, it can be dangerous, however.
Read 8 tweets
13 Aug
Brief thread on reporting of deaths in Florida:

Some locales have reported deaths by date of death (left image, worldometers) ; others by date of report (Right image; NYTimes). Former makes for better epidemiological curve. The latter is what most of us are accustomed to.
Florida has pivoted to the former.

I believe that both methods should end up with the same number of deaths. But if you look at Worldometers (strictly reporting CDC figures (right)), you might be deceived into thinking things are getting better.
To put another way:

Yesterday's RECORD reporting of 357 deaths (reported, officially on 8/11) included "only" 18 that Florida ascribes to 8/11. The remainder are deaths that occurred in the more remote past (8/10, 8/9, 8/8, etc.)
Read 4 tweets
11 Aug
.@KFF survey of parents:

Majority (58%) of parents of 12-17 year-olds say school shouldn't require students vaccinated for COVID-19, (54%) of parents of all school-age children say schools shouldn't require vaccination even after full FDA approval.
"four in ten parents of children under 12 saying that once a vaccine is authorized for their child’s age group they will “wait a while to see how it is working” before getting their child vaccinated."
"Hispanic & Black parents are more likely than White ... to cite concerns [re:] access barriers to vaccination, including not being able to get the vaccine from a trusted place, believing they may have to pay an out-of-pocket cost, or difficulty traveling to a vaccination site."
Read 6 tweets

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