American travel is reopening — for vaccinated travelers

From: POLITICO Pulse - Wednesday Oct 13,2021 02:03 pm
Presented by Surgical Care Coalition: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
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Quick Fix

The administration is opening up to vaccinated travel but some questions remain about how it will work.

FDA clears first-ever e-cigarette for market, saying it’s beneficial for adult smokers to switch.

— The Supreme Court is hearing arguments in an abortion case with rippling ramifications for other contentious issues defended by state officials.

WELCOME TO WEDNESDAY PULSEWhat does ‘talk to your doctor’ mean in the current health care system? Trust has diffused, Jacob Bacharach writes for Gawker. Send your takes and tips to sowermohle@politico.com and acancryn@politico.com.

A message from Surgical Care Coalition:

The Surgical Care Coalition is urging Congress to stop impending Medicare cuts of nearly 9% that will threaten patient access to quality surgical care. These cuts are even more concerning considering the ongoing COVID-19 pandemic. Learn more about the Surgical Care Coalition, representing more than 150,000 surgeons across the country, and how you can take action against these devastating cuts.

 
Driving the Day

AMERICAN TRAVEL IS OPENING UP, IF YOU’RE VAXXED — The Biden administration will soon reopen its land borders with Mexico and Canada to fully vaccinated travelers in its latest move to ease pandemic restrictions imposed on foreigners trying to enter the country for tourism and other “nonessential” reasons.

The plan is set to take effect next month alongside a previously announced easing of limits on vaccinated air travelers from certain countries — decisions that come as Covid-19 cases have ebbed and are likely to please the U.S.’ allies.

But that’s just the first phase. The White House will impose a blanket vaccination requirement for all non-U.S. citizens crossing land borders beginning in January, no matter their reason for entering the country.

There will be no Covid-19 testing alternative, senior administration officials told reporters, meaning businesses that rely on moving products from Canada or Mexico into the U.S. will need to ensure their drivers are fully inoculated.

Some big elements are still TBD. Officials have yet to set a specific date for when the policies take effect. Also unclear is what vaccination paperwork will be required and what will qualify as “fully vaccinated” — questions the CDC is expected to answer in the coming days.

Unlike air travelers, most of those entering the U.S. by land will only need to attest to vaccination status — though border officers will have the ability to ask anybody for proof.

The new system also won’t apply to asylum-seeking migrants expelled under Title 42.

Still, it’s the latest sign Biden is trying to move the U.S. back toward normal while also making Covid-19 vaccination part of that new reality.

FDA CLEARS FIRST-EVER E-CIGARETTE — As it authorized an e-cigarette for the first time Tuesday, the FDA also took a stance: The product provides a benefit to adult smokers who switch to vaping.

The agency granted marketing orders to Vuse, a company owned by the cigarette giant R.J. Reynolds, for its Vuse Solo closed e-cigarette device and two tobacco-flavored cartridges. The FDA also denied marketing orders for 10 flavored e-cigarette products from R.J. Reynolds, POLITICO’s Katherine Ellen Foley writes.

Why it matters: The decision to authorize some e-cigarettes products comes as the FDA finishes evaluating millions of marketing applications filed by vape makers seeking permission to keep their goods on the market. The agency ruled on many, but not all, applications in accordance with a court-ordered Sept. 9 deadline as it tries to balance concerns about vaping's strong appeal to teens with its potential to help adult smokers.

What’s next: As part of its marketing orders, the FDA imposed strict digital, television and radio advertising restrictions for R.J. Reynolds to reduce youth exposure to the products. The agency also said R.J. Reynolds must provide regular updates on its product sales and consumer data.

But the company isn’t out of the woods — Vuse is one of the largest e-cigarette companies in the market and has wide appeal to teenagers. A federal study released last month found that roughly one in 10 high school students who vape named Vuse as their preferred brand.

“We’re troubled that a company with Reynolds' history now has the ability to market these products in the United States,” said Erika Sward, the assistant vice president of National Advocacy for the American Lung Association.

DIVIDED SCOTUS CONSIDERS ABORTION QUESTIONThe highest court on Tuesday weighed which state officials can defend abortion bans in court — a procedural question with implications that extend beyond reproductive health in states where the governor and attorney general hail from opposing parties, POLITICO’s Alice Miranda Ollstein writes.

Cameron v. EMW Women’s Surgical Center marks the first abortion case to be argued in full before the court's 6–3 conservative majority. It centers on whether Republican Kentucky Attorney General Daniel Cameron can defend his state’s ban on some forms of abortion after two courts found it unconstitutional and Democratic Gov. Andy Beshear refused to defend it further.

A decision, expected next summer, could extend beyond abortion to Covid mandates, gun control laws and even election results. The deliberations also come as the high court prepares to hear a case in December over Mississippi’s 15-week abortion ban. And ongoing challenges to Texas’ six-week abortion ban could swing the issue back to the Supreme Court.

With Congress unlikely to pass a law to protect abortion rights and dozens of conservative states moving quickly to pass many forms of restrictions on the procedure, the court’s rulings this term will decide when, where and how people can terminate a pregnancy, Alice writes.

 

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SOUTHWEST GOES AGAINST TEXAS, MANDATES VACCINES — Texas-based Southwest Airlines said Tuesday it will continue its plans to require employees to get vaccinated, despite an edict issued by Texas Gov. Greg Abbott that would ban vaccine mandates for private businesses in the state.

Abbott on Monday signed a sweeping order effectively banning vaccine mandates for private businesses with 100 or more employees, POLITICO’s Oriana Pawlyk reports.

"Federal action supersedes any state mandate or law, and we would be expected to comply with the President's Order to remain compliant as a federal contractor," Southwest said in a statement to POLITICO, referencing the Biden administration's requirement that government contractors be vaccinated by Dec. 8.

American Airlines, also based in Texas, didn’t respond to a request for comment about how it’s addressing Abbott's action.

What’s next: The mandate still faces challenges. The Southwest Airlines Pilots Association filed in a Dallas federal court on Friday to temporarily block the vaccine requirement as it sorts out another dispute with Southwest involving claims of unfair labor practices during Covid.

DRUG NEGOTIATION REMAINS POPULAR AMONG VOTERS — Most voters across party lines still want the federal government to negotiate drug prices even when presented with the argument that it will curb new drug development, according to the latest Kaiser Family Foundation poll.

Eighty-three percent of respondents said they favored the measure before being asked for their takes on key arguments for and against negotiation. A third, including 45 percent of Republicans, said the assertion that it would lead to fewer new drugs in the future is convincing. But most voters, including 78 percent of Republicans, seemed to like the argument that negotiation is needed because the U.S. pays more for medicines than any other country.

Ultimately, KFF said each argument did little to sway voters from their original opinion. Though the percentage of Republicans who “strongly favor” negotiation nearly halved by the end, overall support held steady.

PhRMA in a statement blasted the poll. “This poll doesn’t present the whole debate and relies on straw-man arguments to steer the public toward a desired outcome,” the drug lobby said. “As Kaiser has shown for years, the public overwhelmingly rejects government price-setting when they learn it threatens access to medicines and future innovation.”

POLL: 10 PERCENT OF VACCINATED ADULTS HAVE BOOSTERS — One in 10 vaccinated U.S. adults say they’ve already gotten a booster shot, according to a new Morning Consult poll. Those self-reported results are higher than CDC data, which already shows booster doses outpacing first shots.

Seventy percent of the 2,200 respondents Morning Consult polled between Oct. 7 and 9 said they would get a booster if the government recommends it, with Democrats more likely than Republicans to go for an extra dose.

 

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Around the Nation

GET OUT THE VAX A group of state-based organizations and the Center for Popular Democracy announced Tuesday they are launching a $1 million outreach campaign, aiming to improve vaccination rates among predominantly Black and immigrant working-class families.

The door-to-door effort hopes to overcome vaccine hesitancy in areas with some of the country’s lowest vaccination rates, and many canvassers are familiar with those neighborhoods from Get Out the Vote drives in 2020, Dan Goldberg writes.

COLORADO ADDS TRANS-CARE TO ESSENTIAL BENEFITS — Colorado will be the first state to require that certain health insurance plans cover gender-affirming care, such as hormone therapy and surgery, state and federal officials announced Tuesday.

“For too long transgender people have faced barriers that have made it difficult to access doctors,” said CMS Administrator Chiquita Brooks-LaSure during a press conference in Denver.

The new benefits take effect in 2023 and are available to Coloradoans who purchase insurance on the individual or small group market. In addition to gender-affirming care, the state would require coverage for an annual mental health wellness exam and as many as six acupuncture visits, part of a plan to reduce opioid dependence.

Insurance companies already must cover some types of gender-affirming care, but the coverage can vary by company and service. The new coverage requirements will be added to the state’s benchmark plan, meaning they’re considered an essential benefit on par with preventive services and maternity care.

A message from Surgical Care Coalition:

A nearly 9% cut to Medicare could threaten patients’ access to quality surgical care. The Surgical Care Coalition, representing more than 150,000 surgeons across the country, are advocating Congress to stop these harmful cuts to protect patients and ensure access to the care they deserve, especially considering the ongoing COVID-19 pandemic.

Health care systems and providers across the country continue to be strained. And COVID-19 has forced patients to delay routine, preventative care leading to delays in a diagnosis and treatment. The proposed Medicare cuts will weaken the system even further and jeopardize access to care for the most vulnerable.

Learn more about the Surgical Care Coalition and how you can protect patient care by stopping these impending Medicare cuts.

 
What We're Reading

California Gov. Gavin Newsom entered office with big promises to reform the health care system, but industry players have since persuaded him to consider friendlier alternatives that could spark massive battles in the year ahead, California Healthline’s Angela Hart and Samantha Young write.

The world needs to break up the “duopoly” of Pfizer and Moderna vaccine production through new manufacturing hubs to deliver promised doses and fairly distribute them to the rest of the world, former CDC Director Tom Frieden writes in The Washington Post.

The Covid-19 lab leak theory won’t go away. But the stakes for China are high on all sides, including the impact zoonotic spillover could have on key policies, Carolyn Kormann writes in a New Yorker dive into our evolving understanding of where the virus originated and what that means.

 

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