7 days in healthcare (January 16th-22nd, 2023)
Summary
From the point of view of Biomedicine, it is worth highlighting, as the Science article does, the celebration of a decade of CRISPR gene editing technology, whose impact on medicine is only just beginning. Janssen withdraws from the HIV vaccine, a new failure in the attempt to discover a vaccine against this disease. Moderna, on the other hand, presents positive results with a vaccine against bronchiolitis. A new report points to wastewater analysis as fundamental to monitoring threats from a wide variety of diseases, not just covid.
As regards Global Health, The Lancet in an editorial underlines the importance of the One Health concept, this idea of the interdependence between human, animal and ecosystem health. The Economist publishes an editorial and an article on the problems of health systems that are in crisis everywhere in the post-covid era (even in Switzerland!), which is making mortality in Europe have been in the last year 10% higher than in a normal year.
Regarding International Health Policy, in the USA the opponents of abortion are manifested. Problems continue in the NHS, with Sajid Javid, former health secretary, proposing something as unusual in the UK as a co-pay in Primary Care and Emergency. He says an overly religious view of the NHS prevents reforms. Important debate and tensions about the price of medicines in the European continent (UK and EU) in relation to prices in the USA. Pharmaceutical companies, very reluctant to price controls, when they are also in the USA with the application of the Inflation Act, which gradually imposes a negotiation of the price of medicines between the Medicare Administration and pharmaceutical companies.
If we talk about National Health Policy (Spain), the incidence of covid continues to drop. Medical conflicts extend to various autonomous communities (Madrid, Catalonia, Navarra, etc.). The agreement in Aragon should be highlighted, which indicates that it is possible to reach agreements, possibly when they are well negotiated. The Ministry, completely absent from this problem. As for the public system, the statements by Lasquetty, Madrid’s Treasury Councilor, who points to “my own place” as one of the great rigidities of the public system, are very interesting. Conflict also in private health between doctors and insurers, raised in Seville. Abortion enters the national debate, following the picturesque proposals of Vox in Castilla y León, never applied. The Constitutional Court opens its new session with the debate on the recourse to the Law of deadlines presented in its day by the PP. The CIS survey presents health as the second problem that worries the Spanish.
In the field of Companies, internationally, Pfizer’s initiative to sell medicines at cost prices in 45 poor countries must be highlighted. At the national level, the launch by DKV of an insurance product that allows choosing a family doctor is notable. In a context in which insurers actually forget about Primary Care, this is something that deserves to be highlighted.
Biomedicine
- CRISPR technology: a decade of gene editing and it’s just the beginning. This Science article discusses the impact of this technology on medicine (https://www.science.org/doi/10.1126/science.add8643)
- The only HIV vaccine has failed in advanced clinical trials. Janssen withdraws after the opinion of independent experts that the vaccine is not effective. Dozens of HIV vaccines have been tried and discarded in recent decades (https://www.nytimes.com/2023/01/18/health/hiv-vaccine-janssen.html)
- Bronchiolitis: Moderna announces positive results in phase 3 for its vaccine against this disease caused by RSV (respiratory syncytial virus) and which mainly affects the elderly (https://www.lemonde.fr/economie/article/2023/01/18/bronchiolite-moderna-annonce-des-resultats-positifs-pour-son-vaccin_6158299_3234.html)
- A new report from the National Academies of Sciences, Engineering and Medicine underscores the importance of monitoring wastewater. This approach has been useful in covid and will also be useful in new potential threats: coronavirus variants, influenza viruses, antibiotic-resistant bacteria and new pathogens (https://www.nytimes.com/2023/01/19/health/wastewater-surveillance-disease.html)
- Spanish CIMA researchers find a key gene to fight against pancreatic cancer (https://cima.cun.es/actualidad/noticias/cima-investigacion-gen-clave-cancer-pancreas)
Global Health
- Editorial of The Lancet: One Health: an important concept of global health. This approach tries to unify the health of people, animals and the ecosystem, as interdependent elements (https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00090-9/fulltext)
- Why are health services in chaos everywhere? Health systems are in crisis everywhere, as if patients, doctors and nurses are experiencing the brutal effect of the post-pandemic (https://www.economist.com/finance-and-economics/2023/01/15/why-health-care-services-are-in-chaos-everywhere)
- Editorial from The Economist: Excess deaths increase, while health systems lose balance. In Europe mortality is 10% higher than in a normal year. Serious problems in the health systems of the United Kingdom, Canada, Germany, France and even Switzerland (https://www.economist.com/leaders/2023/01/19/excess-deaths-are-soaring-as-health-care-systems-wobble)
International Health Policy
- Changes in the United States
- The anti-abortion movement in the United States proposes its next steps after the end of Roe vs. Wade, thousands of protesters against the right to abortion have participated last Friday in the March for Life, in Washington (https://elpais.com/society/2023-01-20/the-anti-abortion-movement-in-the-usa-plans-its-next-steps-after-the-end-of-roe-against-wade.html)
- Serious NHS crisis in the UK
- Sajid Javid, former Secretary of Health, calls for radical reforms in the NHS: pay to see the primary doctor and go to the emergency room. He says it’s the only way to avoid long waiting lists and that a religious assessment of the NHS prevents reforms (https://www.theguardian.com/politics/2023/jan/20/sajid-javid-calls-for-patients-to-pay-for-gp-and-ae-visits)
- Ambulance strike may last until Easter, unions warn (https://www.ft.com/content/c19e9533-9c42-413b-a0d2-7b1e495403e6)
- NHS officials call on the government to do all it can to stop the nurses’ strike (https://www.theguardian.com/society/2023/jan/18/nurses-in-england-begin-two-days-of-strikes-in-pay-standoff)
- Health, at the center of politics in France
- The medical unions suspend their negotiations with the Health Insurance (https://www.lemonde.fr/societe/article/2023/01/19/les-syndicats-de-medecins-suspendent-leurs-negociations-avec-l-assurance-maladie_6158550_3224.html)
- Direct patient access to nurses, adopted by the National Assembly, which is opposed by the medical unions (https://www.lemonde.fr/politique/article/2023/01/19/sante-l-access-direct-des-patients-to-certains-infirmiers-adopte-a-l-assemblee-nationale_6158429_823448.html)
- Debate on the price of medicines in the US and Europe
- Important debate on the price of medicines in the US and in the UK and the EU. Pharmaceutical companies oppose price restrictions on the European continent (https://www.ft.com/content/fe8e3e11-5f08-46be-8061-7d76674e0a60)
- Davos Forum
- The World Economic Forum highlights the shortage of nurses, 238,000 in Spain alone (https://www.consalud.es/profesionales/enfermeria/foro-economico-mundial-escasez-enfermeras-espana_125248_102.html)
- European Union
- EU pharmaceutical legislation, ready in spring 2023 (https://www.redaccionmedica.com/secciones/industria/la-nueva-legislacion-farmaceutica-europea-despegara-en-primavera-1701)
National Health Policy
- COVID
- The AI of the covid drops below 100 for the first time in a year (https://www.consalud.es/pacientes/especial-coronavirus/covid-espana-notifica-11426-casos-424-muertes-ia-baja-100-points-for-the-first-time-in-1-year_125309_102.html)
- Medical conflict in public healthcare
- Primary Care doctors go on indefinite strike in Andalusia (https://www.epe.es/es/sanidad/20230120/medicos-atencion-primaria-huelga-indefinida-81422653)
- The autonomous communities negotiate in extremis to avoid a strike by doctors (https://www.elmundo.es/ciencia-y-salud/salud/2023/01/19/63c834a621efa0ef738b45ab.html)
- The medical union of Catalonia extends the doctors’ strike to February 1, 2 and 3 (https://www.elmundo.es/ciencia-y-salud/salud/2023/01/20/63cacfe421efa00f2e8b45c9.html)
- Aragon: the agreement to call off the strike will cost 8 million euros a year (https://www.elmundo.es/ciencia-y-salud/salud/2023/01/19/63c9654ffdddff411d8b45bc.html)
- Navarrese doctors ratify the strike of February 1 (https://www.consalud.es/autonomias/navarra/medicos-navarra-ratifican-huelga-convocada-1-febrero-espera-reuniones_125311_102.html)
- Debate on the public system
- Statements by Lasquetty: “The public system is rigid due to the concept of my own place” (https://www.elconfidencial.com/economia/2023-01-22/lasquetty-sanidad-publica-rigida-plazas-en-property_3561425/)
- Medical conflict in private healthcare
- More than 500 doctors start protests against insurers in Seville (https://www.epe.es/es/sanidad/20230120/sanidad-privada-paros-81451801)
- Abortion, in the national debate
- Vox copied the Castilla y León protocol of the anti-abortion law of the ultra-Hungarian Orbán (https://elpais.com/espana/2023-01-16/vox-copio-el-protocolo-de-castilla-y-leon-of-the-anti-abortion-law-of-the-hungarian-viktor-orban.html)
- The PP rectifies and says that it will not apply the protocol proposed by Vox (https://www.lavanguardia.com/politica/20230117/8687679/pp-rectifica-dice-aplicara-plan-antiaborto-vox.html)
- Feijóo accepts the law of terms that the PP appealed 12 years ago (https://elpais.com/espana/2023-01-18/feijoo-acepta-la-ley-de-plazos-que-el-pp-recurrio-12-years-ago.html)
- Only three communities practice more abortions in public health than in private (https://www.epe.es/es/igualdad/20230119/tres-comunidades-practican-abortos-sanidad-81382383)
- The paradox of abortion in Spain has fallen 24% since the law made it easier to terminate a pregnancy (https://www.elespanol.com/ciencia/salud/20230119/paradoja-aborto-espana-cae-facilita-interrupir-embarazo/734676848_0.html)
- The abortion appeal will open the sessions of the Constitutional Court (https://www.elindependiente.com/espana/2023/01/22/el-recurso-del-aborto-abrira-el-primer-debate-politico-entre-the-magistrates-of-the-constitutional-court/)
- Health insurance
- Health insurers break records in billing and number of clients, billing increases by 7% in 2022 (https://www.eleconomista.es/salud/noticias/12114051/01/23/Los-aseguradoras-de-health-break-records-of-billing-and-number-of-customers.html)
- The insurance prepares price increases for 2023 (https://www.elconfidencial.com/mercados/2023-01-19/seguro-precios-primas-salud-crecimiento-siniestralidad_3559993/)
- CIS survey
- Health, the second biggest problem affecting Spaniards, according to the CIS survey (https://diariofarma.com/2023/01/18/la-sanidad-segundo-mayor-problema-que-mas-afecta-to-the-spanish-according-to-the-cis). To see the results of the Barometer for January 2023: https://datos.cis.es/pdf/Es3390sd_A.pdf
- Transplants
- Transplants in Spain grow by 13% and recover pre-pandemic levels (https://www.elmundo.es/ciencia-y-salud/salud/2023/01/19/63c8fefce4d4d823478b456f.html)
Companies
- International News
- Pfizer will sell all its products at cost price in 45 poor countries (https://www.plantadoce.com/empresa/pfizer-vendera-todos-sus-productos-a-precio-de-coste-en-45-paises-pobres.html)
- BioNTech buys InstaDeep for 362 million pounds to advance AI in health (https://www.plantadoce.com/empresa/biontech-purchas-instadeep-for-362-millones-de-libras-para-avanzar-en-ai-in-health.html)
- Bayer will use the intelligence of Google to accelerate its drug development (https://www.eleconomista.es/salud/noticias/12117009/01/23/Bayer-usara-la-inteligencia-de-Google-para-acelerar-drug-development.html)
- National News
- Construction of the Ascires biomedical hospital begins in Valencia, focused on cardiology and neurology (https://www.redaccionmedica.com/secciones/privada/empieza-a-construirse-el-hospital-biomedico-ascires-de-patologia-complex-7791)
- DKV launches the first insurance that allows you to choose a family doctor (https://www.consalud.es/ecsalud/ehealth/dkv-primer-seguro-usuario-elecir-medico-cabecera_125103_102.html)
- Quirón integrates all its radiooncology services in Catalonia (https://www.plantadoce.com/empresa/quironsalud-integra-todos-sus-servicios-de-radiooncologia-en-cataluna.html)
- Sanitas and National Nederlande join forces in health insurance (https://www.expansion.com/empresas/banca/2023/01/20/63c99762e5fdea747b8b45d4.html)
- The subsidiaries of Dentix finalize lawsuits against KKR for bankruptcy (https://www.expansion.com/empresas/2023/01/17/63c5ae5de5fdeaa8448b4604.html)
- The future of Quirón hospitals, pending the new Fresenius plan (https://www.expansion.com/empresas/2023/01/16/63c48013e5fdeacb1c8b45f0.html)
- Almirall will launch its flagship drug first in Germany and the United Kingdom (https://www.eleconomista.es/salud/noticias/12110284/01/23/Almirall-lanzara-su-farmaco-estrella-primero-en-Alemania-y-United-Kingdom-.html)