Americans are no-shows for boosters

From: POLITICO Pulse - Tuesday Oct 11,2022 02:05 pm
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By Krista Mahr and Daniel Payne

With Alice Miranda Ollstein

Driving the Day

A sign at a drug store advertises the COVID-19 vaccine on November 19 in New York City.

Only about 5 percent of Americans have gotten the updated Covid-19 booster. | Spencer Platt/Getty Images

HERE WE GO AGAIN — It’s getting colder, hospitalizations in Europe are rising and Americans aren’t showing up to get their Covid-19 boosters.

By the end of last week, the Biden administration expected between 13 and 15 million people — or about 5 percent of the eligible population — would have opted to get the updated Moderna or Pfizer jab ahead of what health officials warn could be another deadly Covid winter.

Now, the administration is racing against the dropping temperatures to convince more people to get the new Covid-19 booster shot in a make-or-break push ahead of the winter, Krista and Adam Cancryn report.

What’s the problem, people? Booster uptake wasn't great before the Omicron-fighting version came along. Now doctors and advocates say Americans are burned out, tuned out and don’t understand why this one is different.

That’s also true — and particularly concerning — among older Americans, who still bear the brunt of the worst of the pandemic.

“We’ve heard so many questions and confusion,” said Bill Walsh, vice president of communications at AARP. “They don't realize that this is really a different category of vaccine, and they don’t quite understand fully the reason it’s so effective at treating this latest iteration of Covid-19.”

Great expectations? The Biden administration is publicly optimistic about the booster uptake and the campaign ahead. Officials are getting boosted on TV. They’re working with community messengers and pushing out new ads to reach people in long-term care facilities and rural Americans, including at a pop-up vaccine event at the Talladega Superspeedway over the weekend.

Privately, however, health officials don’t expect a massive response. That’s partly due to the country’s deep pandemic fatigue and to the lack of an immediate threat of a dangerous new variant that might otherwise motivate people to prioritize the booster. And, they say, they don't have enough money to do the job the way they want to.

WELCOME TO TUESDAY PULSE — Welcome back. We have good news and bad news. First: You have not missed your chance to vote for the chubbiest brown bear in Alaska’s Katmai Park in Fat Bear Week. But: Bots have been trying to rig the vote. Is nothing sacred? Send your pick for the win, news and tips to kmahr@politico.com and dpayne@politico.com.

TODAY IN OUR PULSE CHECK PODCAST, Carmen Paun tells Meghan Messerly about her reporting on foreign rivals developing nasal vaccines for Covid-19 and what’s stopping the U.S. from competing. Plus, Dr. David Curiel on helping to create a nasal Covid-19 vaccine that an Indian drugmaker licensed. Listen to today’s Pulse Check podcast.

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At the White House

A middle school classroom.

The White House is working to get schools and businesses to improve their indoor air quality. | Mari Darr~Welch/AP Photo

FIRST IN PULSE — The White House hosts its Summit on Indoor Air Quality today to highlight how improving ventilation can help stop the spread of Covid-19 ahead of a potentially tough winter as more workers return to the office and masks are off in more schools.

The Biden administration has already called on businesses and school leaders to improve the air quality in their buildings to mitigate Covid-19 transmission, and made funding available for schools to do that through the American Rescue Plan Elementary and Secondary School Emergency Relief. Nearly half of school districts in the nation plan to use those funds to improve ventilation, according to a senior administration official.

The administration will also launch a new website today where businesses and schools can learn more about its Clean Air in Buildings Challenge, launched earlier this year to create a clear set of recommendations that all building owners and operations can follow to improve indoor air quality.

Last week, the Environmental Protection Agency released a Request for Information seeking input from experts and the public on how to best document efforts toward improved ventilation, filtration, and air cleaning in buildings.

 

TUNE IN TO THE PULSE CHECK PODCAST: Keep your finger on the pulse of the biggest stories in health care by listening to our daily Pulse Check podcast. POLITICO’s must-listen briefing decodes healthcare policy and politics, and delivers reality checks from health professionals on the front lines. SUBSCRIBE NOW AND START LISTENING.

 
 
In Congress

PUERTO RICANS COULD LOSE MEDICAID — More than 1 million low-income Puerto Ricans are at risk of having their health insurance upended in December when a boost in Medicaid funds expires, reports POLITICO’s Megan Wilson.

Lobbyists representing the island and health care interests are pushing Congress to provide a long-term fix in the year-end spending bill. Meetings between advocates and key lawmakers are expected to take place later this month, and letters are already pouring into congressional offices, warning of dire consequences if lawmakers fail to extend the hundreds of millions of dollars in additional funding to keep the insurance program afloat.

Backstory: Congress increased the federal government’s share of Puerto Rico’s Medicaid program to 76 percent in a 2019 government spending bill, but it would drop back to the 55 percent set by law if Congress does nothing by Dec. 16. A coronavirus relief package gave states and U.S. territories a 6.2 percentage point increase through the end of the public health emergency.

What’s on the table: While a permanent solution would likely prove too costly to include in the massive year-end government spending bill, lobbyists and staffers on Capitol Hill told POLITICO that there have been discussions about a multiyear solution, as has been proposed in the past.

Midterms Watch

 A man holds a Democratic themed pin in Pennsylvania.

Doctors in Pennsylvania are campaigning with Democrats ahead of the midterms. | Mark Makela/Getty Images

DOCTORS HIT THE CAMPAIGN TRAIL IN PA — Doctors in Pennsylvania are joining Democrats in knocking on doors and showing up at campaign rallies to make the case that abortion restrictions proposed by Republicans would threaten one of the state’s most important economic sectors, Alice reports .

They’re warning that doctors, residents and medical students will avoid practicing in a state where they could be prosecuted for helping a patient terminate a pregnancy, damaging one of the largest and most recession-proof pieces of the Keystone State’s economy.

It’s a big shift for the local medical community — the fourth-largest job sector in the state, employing more than 400,000 people — as doctors and medical organizations are usually hesitant to wade into politics and careful to maintain good relations with both the Democratic governor and the Republican legislature.

FIRST IN  PULSE (II) — More than 340 bipartisan elected leaders and political candidates have signed on to back Mental Health Now, a campaign that aims to improve the nation’s mental health care services.

Governors J.B. Pritzker (D-Ill.) and Steve Sisolak (D-Nev.), Sen. Michael Bennet (D-Colo.) and U.S. Senate candidate John Fetterman (D-Penn.) are among the many national and local candidates who have committed to work to increase the availability of mental health care, expand youth mental health services and improve crisis response for people experiencing a mental health emergency. The campaign was launched by Inseparable, a national nonprofit working to improve mental health policy.

WHITMER TO SEEK MEDICAID WAIVER Tensions are rising in Michigan days ahead of Democratic Gov. Gretchen Whitmer’s first debate with GOP challenger Tudor Dixon, Alice reports from Lansing.

On the campaign trail Monday, after hosting a roundtable with women from around the state, Whitmer told POLITICO about a new action she’s taking: applying for a federal Medicaid waiver to expand coverage of sexually transmitted disease screenings, contraception and other non-abortion reproductive health care services to 25,000 Michiganders who are just over the income threshold and don’t currently qualify for Medicaid.

NEWSOM ASKS VOTERS TO BACK PROP 1 — Gov. Gavin Newsom (D-Calif.) is using his first TV ads of the election cycle to ask voters to back Proposition 1, a measure on the fall ballot that would enshrine the right to abortion and contraceptives in the state constitution, POLITICO’s Christopher Cadelago reports.

While California’s abortion measure is leading in public polls, Newsom contends the ad money was necessary. He pointed to concerns among some Democrats and pundits that voter enthusiasm following the high court’s Dobbs decision might already be waning and that he doesn’t want the party’s voters to leave anything to chance.

The decision to use his ad money on Prop 1 and not on his own campaign is a clear signal that Newsom is aware his own reelection is a near certainty in November.

Names in the News

Michelle McMurry-Heath is stepping down as president and CEO of the Biotechnology Innovation Organization (BIO) Executive Committee as of today. She will serve as an adviser to the firm’s executive committee. BIO said in a Monday statement it would “identify an interim CEO and launch a search for a successor.”

What We're Reading

New data gives some doctors hope for vaccines against colon, breast and pancreatic cancer, The New York Times writes.

The Washington Post reports on how the proliferation of Catholic hospitals is impacting reproductive care across the nation.

The New York Times investigates how major health insurers exploited the Medicare Advantage program to boost their profits by billions.

 

STAY AHEAD OF THE CURVE: Our Future Pulse newsletter will continue to bring you the biggest stories at the intersection of technology and healthcare, but now five times a week. Want to know what’s next in health care? Sign up for our Future Pulse newsletter. If you aren’t already subscribed, follow this link to start receiving Future Pulse.

 
 
 

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